Provider First Line Business Practice Location Address:
GREAT PLAINS FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
3500 NW 56TH ST., SUITE 100
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-951-2855
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2009