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Organization

COWETA MEDICAL GROUP,P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF BARENTINE PA (OWNER)
(918) 486-7425
Entity
Organization

Contact information

Practice address
28622 E 141ST ST SO., COWETA, OK 74429
(918) 486-7425
Mailing address
PO BOX 1030, 28622 E 141ST ST SO., COWETA, OK 74429
(918) 486-7425

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
12/17/2008
Last updated
01/07/2009
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