Organization
USPHS INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN C CLELLAND PHARMD, MPA (CEO)
(580) 331-3314
Entity
Organization
Contact information
Practice address
RR 1 BOX 34A, WATONGA, OK 73772-9706
(580) 623-4991
(580) 623-5490
Mailing address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3300
(580) 323-2579
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3568
OK
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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