CANYON PARK MEDICAL GROUP, PLLC

Clinic/Center - Primary Care

Active Organization
NPI: 1063525954

Practice Address

1501 E 19TH ST
Edmond, OK 73013

Phone: (405) 348-6611

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X Yes 8699 (OK)

Frequently Asked Questions

NPI 1063525954 is the National Provider Identifier for CANYON PARK MEDICAL GROUP, PLLC, a Clinic/Center - Primary Care provider located in Edmond, OK. This NPI was enumerated on August 16, 2006.

Quick Facts

NPI
1063525954
Type
Organization
Enumerated
Aug 16, 2006
Last Updated
May 2, 2011

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