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Organization

RITA S WESTENHAVER D.O. FAMILY PRACTICE PC

Active
Other names
RITA SLATER D.O. FAMILY PRACTICE PC
Organization subpart
No

Provider details

NPI number
Authorized official
RITA SUE WESTENHAVER D.O. (PHYSICAIN)
(918) 314-2295
Entity
Organization

Contact information

Practice address
62420 E HIGHWAY 137, MIAMI, OK 74354-7474
(918) 314-2295
(866) 659-6935
Mailing address
62420 E HIGHWAY 137, MIAMI, OK 74354-7474
(918) 314-2295
(866) 659-6935

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2731
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100710600E
OK
01
731438253-007
GROUP BCBS
Enumeration date
05/15/2006
Last updated
08/13/2010
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