Dr STORM M EAGLE is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013.
NORMAN REGIONAL PROVIDERS-PRIMARY CARE
3400 W TECUMSEH RD
104 PRIMARY CARE WEST NORMAN
NORMAN
OK
730721810
Tel: 4055151800
| Npi | 1649607383 |
| Pac Id | 4486873478 |
| Professional Enrollment Id | I20140924002294 |
| Last Name | EAGLE |
| First Name | STORM |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORMAN REGIONAL PROVIDERS-PRIMARY CARE |
| Group Practice Pac Id | 5496837718 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 3400 W TECUMSEH RD |
| Line 2 Street Address | 104 PRIMARY CARE WEST NORMAN |
| Marker Of Address Line 2 Suppression | |
| City | NORMAN |
| State | OK |
| Zip Code | 730721810 |
| Phone Number | 4055151800 |
| Hospital Affiliation Ccn 1 | 370008 |
| Hospital Affiliation Lbn 1 | NORMAN REGIONAL |
| Hospital Affiliation Ccn 2 | 370093 |
| Hospital Affiliation Lbn 2 | OU MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 370106 |
| Hospital Affiliation Lbn 3 | INTEGRIS SOUTHWEST MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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