# RITA S WESTENHAVER D.O. FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RITA SLATER D.O. FAMILY PRACTICE PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255382941
- **Authorized official:** RITA SUE WESTENHAVER D.O. (PHYSICAIN)
- **Authorized official phone:** (918) 314-2295

## Contact information

- **Practice address:** 62420 E HIGHWAY 137, MIAMI, OK 74354-7474
- **Practice address phone:** (918) 314-2295
- **Practice address fax:** (866) 659-6935
- **Mailing address:** 62420 E HIGHWAY 137, MIAMI, OK 74354-7474
- **Mailing address phone:** (918) 314-2295
- **Mailing address fax:** (866) 659-6935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 2731 | OK | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 08/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100710600E | — | OK |
| 01 | — | 731438253-007 | GROUP BCBS | — |