Unknown Individual – Family Medicine Physician, NPI 1821152737
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2105 WYCKHAM PL
NORMAN, OK 730723042
Phone: (405) 262-7631
Fax: (405) 262-8099
Type: Mailing
1631 A EAST HIGHWAY 66
EL RENO, OK 730365769
Phone: (405) 262-7631
Fax: (405) 262-8099
Type: Location
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73072)
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