Organization
FOUNDATION HEALTH & WELLNESS INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA HIGGINS MILLER MD (PRESIDENT)
(580) 938-5179
Entity
Organization
Contact information
Practice address
404 S. MAIN ST., SHATTUCK, OK 73858
(580) 938-5400
(580) 938-5409
Mailing address
PO BOX 610, SHATTUCK, OK 73858-0610
(580) 938-5400
(580) 938-5409
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
21839
OK
Other
Enumeration date
10/27/2010
Last updated
11/10/2010
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