Organization
LOFTIN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA DIANE LOFTIN M.D. (OWNER)
(918) 456-3425
Entity
Organization
Contact information
Practice address
1323 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3462
(918) 456-3425
(918) 456-3107
Mailing address
1323 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3462
(918) 456-3425
(918) 456-3107
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22820
OK
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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