Organization
OAK MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYINKAN KOKORICHA (OFFICE MANAGER)
(575) 935-1625
Entity
Organization
Contact information
Practice address
2001 W 21ST ST, CLOVIS, NM 88101-4086
(575) 935-1625
(575) 935-1626
Mailing address
2001 W 21ST ST, CLOVIS, NM 88101-4086
(575) 935-1625
(575) 935-1626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
04/23/2014
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