Prairie Gardens Medical LLC
Prairie Gardens Medical LLC provides General Practice Physician services in Oklahoma City, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1213 NW 122nd St Ste 401Oklahoma City, OK 73114-7000
Phone: (405) 962-8123
Fax: (405) 962-8125
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1669080891 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dianne Tupper — Managing Partner · (405) 742-8898 |
| NPI enumerated | July 14, 2020 |
| Last updated in NPPES | September 16, 2020 |
| Certification date | September 16, 2020 |
| Mailing address | 175 Lary Ln, Guthrie, OK 73044-6542 |
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