Organization
ST JOHN SAPULPA
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SUE NAGEL (DIRECTOR OF OPERATIONS)
(918) 224-4280
Entity
Organization
Contact information
Practice address
1004 E BRYAN, SAPULPA, OK 74066-1368
(918) 224-4280
(918) 224-6290
Mailing address
1004 E BRYAN, SAPULPA, OK 74066-1368
(918) 224-4280
(918) 224-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2310
OK
Other
Enumeration date
08/15/2008
Last updated
08/19/2008
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