Organization
COSMOCOMET.LLC
Active
Organization
COSMOCOMET.LLC
Active
Other names
Dr. Robin Western D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HABECK (BUSINESS MANAGER)
(918) 342-2528
Entity
Organization
Contact information
Practice address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 342-2528
(918) 342-2538
Mailing address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 342-2528
(918) 342-2538
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3245
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538151246
INDIVIDUAL NPI
OK
Enumeration date
12/22/2008
Last updated
12/22/2008
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