Park Place Medical
Pediatrics
Park Place Medical is a Mustang, Oklahoma based Pediatric center with medical specialization in
General Pediatrics.
It is located at
500 Park Pl, Mustang, Oklahoma - 73064-3104. They can be contacted on phone at
406-376-5439 and fax number 405-376-6459.
NPI number (Unique professional ID) for Park Place Medical is
1114334885 which was assigned by NPPES on 15 Jul, 2014 and it was last updated on 15 Jul, 2014.
Park Place Medical license number is
15742 for Pediatrics (208000000X) in Oklahoma.
Park Place Medical is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Park Place Medical basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Park Place Medical |
|---|
Business Address:
Park Place Medical address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 500 Park Pl
Mustang, OK, 73064-3104
United States |
|---|
| Phone Number : | 406-376-5439 |
|---|
| Fax Number : | 405-376-6459 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114334885 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Jul, 2014 |
|---|
| Last Updated On : | 15 Jul, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Donnaraye Cosby |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | OWNER |
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| Phone Number : | 405-376-5439 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Place Medical are as mentioned. Primary taxonomy code for Park Place Medical is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 15742 | OK |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 Park Pl
Mustang, OK, 73064-3104
United States |
|---|
| Phone Number : | 406-376-5439 |
|---|
| Fax Number : | 405-376-6459 |
|---|
Business Location:
Patients can refer following map for directions to
Park Place Medical practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.