Canyon Park Medical Group, Pllc is a Primary Care Clinic/Center based in Edmond, OK and is specialized in Primary Care. Canyon Park Medical Group, Pllc practices in Edmond, OK. The NPI Number for Canyon Park Medical Group, Pllc is 1063525954 and holds a License No. 8699 (Oklahoma).
The current practice location address for Canyon Park Medical Group, Pllc is 1501 E 19Th St, Edmond, OK and can be reached out via phone at 405-348-6611 and via fax at 405-348-9280. You can also correspond with Canyon Park Medical Group, Pllc through the mailing address at 1501 E 19TH ST, EDMOND, OK - 73013-6618 (mailing address contact number: 405-348-6611).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37DO469469 | 01 | OK | CLIA # |
| CH5055 | 01 | OK | RAILROAD MEDICARE # |
| 100748060A | 05 | OK | |
| 4589400001 | 01 | OK | DMERC GROUP # |
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