# EASTERN OKLAHOMA MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215999420
- **Authorized official:** DR. COREY SHAWN SCHOENEWE DO (PRESIDENT)
- **Authorized official phone:** (918) 392-2468

## Contact information

- **Practice address:** 8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
- **Practice address phone:** (918) 392-2468
- **Practice address fax:** (918) 392-2469
- **Mailing address:** 8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
- **Mailing address phone:** (918) 392-2468
- **Mailing address fax:** (918) 392-2469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3785 | OK | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 10/26/2007