Organization
MCALESTER REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH (CEO)
(918) 426-1800
Entity
Organization
Contact information
Practice address
4 E CLARK BASS BLVD, SUITE 202, MCALESTER, OK 74501-4269
(918) 421-6090
(918) 421-6094
Mailing address
4 E CLARK BASS BLVD, SUITE 202, MCALESTER, OK 74501-4269
(918) 421-6090
(918) 421-6094
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200456750H
—
OK
Enumeration date
10/17/2014
Last updated
03/09/2015
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