# SDO GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skiatook Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811366032
- **Authorized official:** DR. LAYNE E SUBERA D.O (OWNER)
- **Authorized official phone:** (918) 396-1262

## Contact information

- **Practice address:** 201 E 2ND ST, SKIATOOK, OK 74070-1211
- **Practice address phone:** (918) 396-1262
- **Practice address fax:** (918) 396-4598
- **Mailing address:** 201 E 2ND ST, SKIATOOK, OK 74070-1211
- **Mailing address phone:** (918) 396-1262
- **Mailing address fax:** (918) 396-4598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3385 | OK | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 07/14/2023
