Organization
JOHN BELK FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BELK MD (MBR)
(580) 647-6594
Entity
Organization
Contact information
Practice address
1103 W CHEROKEE ST, WAGONER, OK 74467-4621
(580) 647-6594
Mailing address
1103 W CHEROKEE ST, WAGONER, OK 74467-4621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30768
OK
Other
Enumeration date
05/11/2017
Last updated
07/18/2017
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