Organization
PARTNERS IN HEALTH MULTICARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LAFFOON NP (CEO, OWNER)
(405) 973-4306
Entity
Organization
Contact information
Practice address
5100 E HIGHWAY 37, TUTTLE, OK 73089-8581
(405) 973-4306
Mailing address
PO BOX 309, TUTTLE, OK 73089-0309
(405) 973-4306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0054748
OK
363LF0000X
Family Nurse Practitioner
R0062152
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073594032
NPI
OK
01
—
1942236690
NPI
OK
Enumeration date
06/05/2007
Last updated
08/22/2020
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