Organization
DUBOIS MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY CULVER DUBOIS MD (OWNER)
(405) 741-8686
Entity
Organization
Contact information
Practice address
1117 S DOUGLAS BLVD, STE D, MIDWEST CITY, OK 73130-5262
(405) 741-8686
(405) 733-9621
Mailing address
1117 S DOUGLAS BLVD, STE D, MIDWEST CITY, OK 73130-5262
(405) 741-8686
(405) 733-9621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
207RN0300X
Nephrology Physician
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746130A
—
OK
Enumeration date
08/29/2005
Last updated
07/21/2022
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