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Organization
ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER
Active
Organization
ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER
Active
Other names
Zena Area Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA KAY MATTHEWS MD (SOLE MEMBER OF S CORPORATION IN OK)
(918) 919-2272
Entity
Organization
Contact information
Practice address
37940 US HWY 59 N, JAY, OK 74346-7434
(918) 964-6425
(918) 786-2402
Mailing address
52390 E 333 RD, JAY, OK 74346-5198
(918) 919-2272
(918) 786-2402
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19451
OK
261QU0200X
Urgent Care Clinic/Center
19451
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124760A21
—
OK
Enumeration date
10/10/2017
Last updated
10/10/2017
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