Organization
MEDICAL CLINIC OF MCALESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON C ONARO (OWNER)
(918) 423-5916
Entity
Organization
Contact information
Practice address
320 E DELAWARE AVE, MCALESTER, OK 74501-5512
(918) 423-5916
(918) 423-5967
Mailing address
PO BOX 1006, MCALESTER, OK 74502-1006
(918) 423-5916
(918) 423-5967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3437
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069700C
—
OK
01
—
158744003
AR MEDICAID
OK
01
—
419909840001
BC/BS
OK
01
—
610872700
DOL
OK
01
—
7048926
CIGNA
OK
Enumeration date
10/18/2007
Last updated
06/12/2013
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