Individual
MR. AERIC WYNN CREEKMORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2822
(405) 379-2150
Mailing address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2822
(405) 379-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80829
OK
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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