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Organization
EASTERN OKLAHOMA MEDICAL CLINIC INC
Active
Organization
EASTERN OKLAHOMA MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY SHAWN SCHOENEWE DO (PRESIDENT)
(918) 392-2468
Entity
Organization
Contact information
Practice address
8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
(918) 392-2468
(918) 392-2469
Mailing address
8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
(918) 392-2468
(918) 392-2469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3785
OK
Other
Enumeration date
04/04/2006
Last updated
10/26/2007
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