Unknown Individual – Family Medicine Physician, NPI 1174563621
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3916, South Sunnylane Road, Del City, Oklahoma County, Oklahoma, 73115, United States
DEL CITY, OK 731153656
Phone: (405) 677-3378
Fax: (405) 677-3950
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73115)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 98926 | Osteopathic manipulative treatment to 3-4 body regions | 28 | 21 |
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