OrganizationActive
15th Street Clinic
NPI 1861059388 · Contractor · Edmond, OK
Provider details
- NPI number
- 1861059388
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Authorized official
- Edward Poole, Owner
Mailing address
180 W 15th St Ste 100
Edmond, OK 73013-3601
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2019-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.