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PREMIUM ENTERPRISES INC

Organization (NPI-2) Active

Hospitalist

Provider Information

NPI Number
1013433028
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1104 E STATE HIGHWAY 152 UNIT 1, MUSTANG, OK, 730645116
Phone
(855) 541-2862
Fax
(405) 716-4808

Specialties & Taxonomies

Hospitalist Primary License: OK #22910

All Addresses

MAILING

15509 JUNIPER DR

EDMOND, OK, 730138841

(855) 541-2862

LOCATION

1104 E STATE HIGHWAY 152 UNIT 1

MUSTANG, OK, 730645116

(855) 541-2862