Organization
FAMILY MEDICAL CLINIC
Active
Other names
SEAN BOONE DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN D BOONE D.O. (SOLE PROPRIETOR)
(580) 326-6111
Entity
Organization
Contact information
Practice address
1405 E KIRK ST, SUITE B, HUGO, OK 74743-3603
(580) 326-6111
(580) 326-0469
Mailing address
1405 E KIRK ST, SUITE B, HUGO, OK 74743-3603
(580) 326-6111
(580) 326-0469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708320A
—
OK
Enumeration date
06/13/2006
Last updated
06/20/2008
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