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Organization

CLAREMORE PRYOR EYE CLINIC P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID REINECKE M.D. (OWNER)
(918) 342-4222
Entity
Organization

Contact information

Practice address
1715 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3056
(918) 342-4222
Mailing address
1715 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3056
(918) 342-4222

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100745370A
OK
Enumeration date
05/04/2006
Last updated
11/04/2014
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