Organization
WELLSTON FAMILY MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY DIANN MITCHELL FNP-BC (ARNP)
(405) 258-3971
Entity
Organization
Contact information
Practice address
309 W. 2ND ST., WELLSTON, OK 74881
(405) 356-2998
(405) 258-0498
Mailing address
PO BOX 98, WELLSTON, OK 74881-0098
(405) 356-2998
(405) 258-0498
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R0080778
OK
Other
Enumeration date
01/14/2010
Last updated
01/27/2010
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