PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C is a clinic center in Ardmore, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C NPI is 1740540327. The provider is registered as an organization entity type.
The provider Is Doing Business As Michelin Family Heatlh Center-ardmore.
The provider's business location address is:
1105 MICHELIN RD
ARDMORE, OK
ZIP 73401-085
Phone: (580) 224-8750
Fax: (580) 224-8751
The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 37D2068018 - industrial with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/17/2012 and was last updated on 10/13/2022.