NPI 1164737243

Western Medical LLC

Organisation General Practice Physician Oklahoma City, OK

Practice location

Address: 7300 S Western Ave, Oklahoma City, OK 73139-2002
Phone: (405) 708-4686
Fax: (866) 313-9161
Mailing address: PO Box 892518, Oklahoma City, OK 73189-2518

Authorised official

Name: Cecil a Moore
Title: Physician
Phone: (405) 708-4686

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 3777 (OK)

Other General Practice providers in Oklahoma →

Registry record

NPI: 1164737243
Entity type: Organization
NPI issued: 12 Aug 2010
Record last updated: 12 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.