Organization
VALLEY FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J JONES D.O. (PRESIDENT)
(405) 238-4633
Entity
Organization
Contact information
Practice address
106 BURR AVE, PAULS VALLEY, OK 73075-3848
(405) 238-4633
(405) 238-4690
Mailing address
106 BURR AVE, PAULS VALLEY, OK 73075-3848
(405) 238-4633
(405) 238-4690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
208000000X
Pediatrics Physician
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124310A
—
OK
05
—
100131280B
—
OK
01
—
1467593210
NPI
OK
01
—
1730155904
NPI
OK
01
—
1972531465
NPI
OK
05
—
200162480B
—
OK
Enumeration date
06/10/2016
Last updated
06/10/2016
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