Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunnylane Medical Clinic LLC

Organization Family Medicine Physician · NPI 1255922811

Sunnylane Medical Clinic LLC is a Family Medicine Physician in Del City, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3916 S Sunnylane Rd
Del City, OK 73115-3656
Phone: (405) 455-5330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1255922811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Braden Peterson — Owner · (405) 455-5330
NPI enumeratedJanuary 27, 2021
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address3916 S Sunnylane Rd, Del City, OK 73115-3656

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