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Organization

SAM L HORTON MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAM L HORTON MD (OWNER)
(918) 343-5106
Entity
Organization

Contact information

Practice address
1904 W 4TH ST S, CLAREMORE, OK 74017-4703
(918) 343-5106
(918) 343-5107
Mailing address
1904 W 4TH ST S, CLAREMORE, OK 74017-4703
(918) 343-5106
(918) 343-5107

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
21098
KY
286500000X
Military Hospital
Primary
21098
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8HZ75E
PROVIDER NUMBER
OK
Enumeration date
07/27/2006
Last updated
07/02/2008
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