Organization
HOFFMAN'S APRN-CNP MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA TIFFEE (CREDENTIALER)
(918) 635-3566
Entity
Organization
Contact information
Practice address
102 SMITH AVE, POTEAU, OK 74953-2615
(918) 653-2918
(918) 653-3211
Mailing address
29035 205TH AVE, POTEAU, OK 74953-7157
(918) 653-2918
(918) 653-3211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28587
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200474150
—
OK
Enumeration date
07/19/2017
Last updated
07/19/2017
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