Coweta Medical Group,p.L.L.C.
Primary Care Clinic/Center in Coweta, OK(View on Map)
Legal Business Name
Coweta Medical Group,p.L.L.C.
NPI Number
1316183536
NPI Type
Organization
Enumeration Date
12/17/2008
Specialties
(Taxonomies)Code
261QP2300X
261QU0200X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1030
28622 E 141ST ST SO.
City
Coweta
Coweta
State
OK
OK
Postal Code
74429
74429
Country
US
US
Telephone Number
(918) 486-7425
(918) 486-7425
Authorized Official
Name
Jeff Barentine
Title or Position
OWNER
Telephone Number
(918) 486-7425
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/07/2009