Eagle Community Clinic LLC
Eagle Community Clinic LLC is a Family Medicine Physician in Edmond, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13800 Benson Rd 202Edmond, OK 73013-6422
Phone: (405) 418-3077
Fax: (405) 418-3076
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1063790202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Oklahoma Sports and Orthopedics Institute PLLC |
| Authorized official | Brandon Penick — Director Of Reimbursement · (405) 360-6764 |
| NPI enumerated | July 21, 2011 |
| Last updated in NPPES | July 21, 2011 |
| Mailing address | Po Box 5995, Norman, OK 73070-5995 |
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Dr. Amanda Dorough, DO
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Dr Cas Consulting PLLC
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Mr. Ray Antoine Drain, MD
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Larry J Ensz, DO
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Dr. Craig Randall Evans, MD
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