# R. MICHAEL EIMEN, D.O.

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

## Provider details

- **NPI number:** 1952533648
- **Authorized official:** VICKI EIMEN (BUSINESS MANAGER)
- **Authorized official phone:** (918) 865-5000

## Contact information

- **Practice address:** 500 CIMARRON DR, MANNFORD, OK 74044-9504
- **Practice address phone:** (918) 865-5000
- **Practice address fax:** (918) 865-5050
- **Mailing address:** PO BOX 323, MANNFORD, OK 74044-0323
- **Mailing address phone:** (918) 865-5000
- **Mailing address fax:** (918) 865-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2520 | OK | Yes |
| 363AM0700X | Medical Physician Assistant | PA1777 | OK | — |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 07/21/2010