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Organization

EAR NOSE THROAT AND ALLERGY CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMINE MARK WELCH D.O. (OWNER)
(918) 341-5088
Entity
Organization

Contact information

Practice address
1715 N LYNN RIGGS BLVD, CLAREMORE, OK 74017-3056
(918) 341-5088
Mailing address
PO BOX 3500, DEPT. 607, CLAREMORE, OK 74018-3500
(918) 341-5088

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
3797
OK

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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