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Organization

EL RENO FAMILY CLINIC AND MINOR EMERGENCY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT C DICINTIO PA-C (PRESIDENT)
(405) 295-2200
Entity
Organization

Contact information

Practice address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 295-2200
(405) 295-2178
Mailing address
203 S ROCK ISLAND AVE, EL RENO, OK 73036-2734
(405) 295-2200
(405) 295-2178

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA564
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
454437244011
BC BS
OK
Enumeration date
10/20/2006
Last updated
08/22/2020
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