Individual
AUTUMN R HEMBREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Mailing address
905 COGGINS AVE, POTEAU, OK 74953-0000
(817) 408-9770
(918) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R099588
OK
Other
Enumeration date
11/22/2017
Last updated
10/24/2018
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