Provider Demographics
NPI:1043598154
Name:ALLIED PHYSICIANS GROUP
Entity Type:Organization
Organization Name:ALLIED PHYSICIANS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-495-5154
Mailing Address - Street 1:6820 NW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-5217
Mailing Address - Country:US
Mailing Address - Phone:405-495-5154
Mailing Address - Fax:
Practice Address - Street 1:8014 N WESTERN AVE
Practice Address - Street 2:SUITE E
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-1911
Practice Address - Country:US
Practice Address - Phone:405-495-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED PHYSICIANS GROUP INC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty