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Organization

INTEGRIS RURAL HEALTH INC

Active
Other names
David W Vanhooser MD Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY M BROWN (VP REGIONAL PHYSICIAN PRACTICE MGMT)
(580) 548-1367
Entity
Organization

Contact information

Practice address
707 S MONROE ST, ENID, OK 73701-7286
(580) 616-7634
(580) 237-7516
Mailing address
PO BOX 960097, OKLAHOMA CITY, OK 73196-0097
(580) 548-1367
(580) 548-1583

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200058050A
OK
01
200069200M
OK MEDICAID OSUFFS
OK
05
200308850B
KS
Enumeration date
12/16/2005
Last updated
02/25/2011
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