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Organization

SOUTHERN PLAINS MEDICAL CENTER INC

Active
Other names
CareFirst Wellness Associates
Organization subpart
No

Provider details

NPI number
Authorized official
HARESH BOGHARA MD (OWNER)
(405) 224-8111
Entity
Organization

Contact information

Practice address
1104 E CENTRAL BLVD, ANADARKO, OK 73005-4406
(405) 247-6685
Mailing address
1104 E CENTRAL BLVD, ANADARKO, OK 73005-4406
(405) 247-6685

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D0467390
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100707760F
OK
Enumeration date
11/08/2006
Last updated
03/14/2025
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