Organization
EASTERN OKLAHOMA MEDICAL CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY F KEATHLEY (OFFICE MANAGER)
(918) 489-5757
Entity
Organization
Contact information
Practice address
700 NORTH MAIN, GORE, OK 74435-0479
(918) 489-5757
(918) 489-5411
Mailing address
PO BOX 1100, GORE, OK 74435-0479
(918) 489-5757
(918) 489-5411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454880A
—
OK
Enumeration date
08/31/2012
Last updated
11/13/2025
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