Organization
CHOCTAW WOMENS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE BOTCHLET (OWNER)
(405) 620-0049
Entity
Organization
Contact information
Practice address
14890 SE 29TH ST, SUITE 106, CHOCTAW, OK 73020-3515
(405) 620-0049
(405) 234-9476
Mailing address
14890 SE 29TH STREET, SUITE 106, CHOCTAW, OK 73020
(405) 620-0049
(405) 234-9476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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