Organization
EASTERN OKLAHOMA MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY SHAWN SCHOENEWE DO (PRESIDENT)
(918) 392-2468
Entity
Organization
Contact information
Practice address
8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
(918) 392-2468
(918) 392-2469
Mailing address
8315 E 111TH ST S STE D, BIXBY, OK 74008-2466
(918) 392-2468
(918) 392-2469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3785
OK
Other
Enumeration date
04/04/2006
Last updated
10/26/2007
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