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Organization

WHINERY FAMILY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROYAL B WHINERY MD (PHYSICIAN OWNER)
(580) 225-2511
Entity
Organization

Contact information

Practice address
1710 W 3RD ST, SUITE 103, ELK CITY, OK 73644-5159
(580) 225-1290
(580) 225-2178
Mailing address
1710 W 3RD ST, SUITE 103, ELK CITY, OK 73644-5159
(580) 225-1290
(580) 225-2178

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26230
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200202430B
OK
Enumeration date
07/02/2008
Last updated
12/21/2010
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