Provider Demographics
NPI:1124085139
Name:FLOYD, PHILIP A (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:FLOYD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 NW 63RD ST
Mailing Address - Street 2:STE 900
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-4836
Mailing Address - Country:US
Mailing Address - Phone:405-340-0511
Mailing Address - Fax:405-348-9026
Practice Address - Street 1:2800 NW 63RD ST
Practice Address - Street 2:STE 900
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-4836
Practice Address - Country:US
Practice Address - Phone:405-286-5557
Practice Address - Fax:405-286-5680
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2020-06-10
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Provider Licenses
StateLicense IDTaxonomies
OK210422086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100259640AMedicaid
OKG92055Medicare UPIN