1063525954 CANYON PARK MEDICAL GROUP, PLLC
Primary Care Clinic/Center
Active
Basic Information
- Organization Name
- CANYON PARK MEDICAL GROUP, PLLC
- Enumeration Date
- August 16, 2006
- Last Update
- May 2, 2011
- Authorized Official
- TONYA LYNN KEITH
CLINIC MANAGER
Phone: (405) 348-6611
Practice Location
- Address
- 1501 E 19TH ST
EDMOND, OK 730136618 - Phone
- (405) 348-6611
- Fax
- (405) 348-9280
Mailing Address
- Address
- 1501 E 19TH ST
EDMOND, OK 730136618 - Phone
- (405) 348-6611
- Fax
- (405) 348-9280
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | 8699 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37DO469469 | 01 | OK | CLIA # |
| CH5055 | 01 | OK | RAILROAD MEDICARE # |
| 100748060A | 05 | OK | N/A |
| 4589400001 | 01 | OK | DMERC GROUP # |
Frequently Asked Questions
What is CANYON PARK MEDICAL GROUP, PLLC's NPI number?
CANYON PARK MEDICAL GROUP, PLLC's NPI number is 1063525954.
Which doctor has NPI number 1063525954?
The doctor with NPI number 1063525954 is CANYON PARK MEDICAL GROUP, PLLC.
What is CANYON PARK MEDICAL GROUP, PLLC's practice address?
CANYON PARK MEDICAL GROUP, PLLC's practice address is 1501 E 19TH ST, EDMOND, OK, 730136618.
Which doctor practices at 1501 E 19TH ST, EDMOND, OK, 730136618?
CANYON PARK MEDICAL GROUP, PLLC practices at 1501 E 19TH ST, EDMOND, OK, 730136618.
What is CANYON PARK MEDICAL GROUP, PLLC's phone number?
CANYON PARK MEDICAL GROUP, PLLC's phone number is (405) 348-6611.
Who is (405) 348-6611?
(405) 348-6611 is the phone number for CANYON PARK MEDICAL GROUP, PLLC.
What is CANYON PARK MEDICAL GROUP, PLLC's specialty?
CANYON PARK MEDICAL GROUP, PLLC's specialty is Primary Care Clinic/Center.
What type of doctor is CANYON PARK MEDICAL GROUP, PLLC?
CANYON PARK MEDICAL GROUP, PLLC is a Primary Care Clinic/Center.
Is CANYON PARK MEDICAL GROUP, PLLC a Primary Care?
Yes, CANYON PARK MEDICAL GROUP, PLLC is a Primary Care.
Is CANYON PARK MEDICAL GROUP, PLLC still practicing?
Yes, CANYON PARK MEDICAL GROUP, PLLC is currently practicing.
Is CANYON PARK MEDICAL GROUP, PLLC accepting new patients?
CANYON PARK MEDICAL GROUP, PLLC may be accepting new patients. Please call their office at (405) 348-6611 to inquire about availability.
Is NPI 1063525954 still active?
Yes, NPI 1063525954 is currently active.
Where does CANYON PARK MEDICAL GROUP, PLLC practice?
CANYON PARK MEDICAL GROUP, PLLC practices in EDMOND, OK.