Organization
ALTUS PREMIER HEALTH CLINIC P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDALLAH S DAWOD M.D. (M.D.)
(580) 379-6550
Entity
Organization
Contact information
Practice address
304 S PARK LN STE B, ALTUS, OK 73521-5754
(580) 379-6550
(580) 379-6559
Mailing address
304 S PARK LN, SUITE B, ALTUS, OK 73521-5753
(580) 379-6550
(580) 379-6559
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
24330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053860B
—
OK
05
—
200527450A
—
OK
Enumeration date
07/05/2013
Last updated
04/19/2016
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