# SOUTHEASTERN WOMEN'S HEALTH CENTER

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

## Provider details

- **NPI number:** 1740376086
- **Authorized official:** JOHN C SIEGLE MD (OWNER)
- **Authorized official phone:** (580) 332-8855

## Contact information

- **Practice address:** 807 N MONTE VISTA ST, ADA, OK 74820-7711
- **Practice address phone:** (580) 332-8855
- **Practice address fax:** (580) 332-7374
- **Mailing address:** 807 N MONTE VISTA ST, ADA, OK 74820-7711
- **Mailing address phone:** (580) 332-8855
- **Mailing address fax:** (580) 332-7374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 17253 | OK | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020
