Organization
WYANDOTTE NATION
Active
Other names
Bearskin Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY FRIEND (HEALTH DIRECTOR)
(918) 678-2282
Entity
Organization
Contact information
Practice address
1 TURTLE DRIVE, WYANDOTTE, OK 74370
(918) 678-2282
(918) 678-2759
Mailing address
1 TURTLE DRIVE, WYANDOTTE, OK 74370
(918) 678-2282
(918) 678-2759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707880A
—
OK
05
—
100732740B
—
OK
Enumeration date
01/03/2007
Last updated
09/06/2022
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