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Organization

ADAIR COUNTY HEALTH CENTERDBA EARL R. WESTERN, D.O

Active
Other names
PHYSICIANS CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEVERLY A ROSS (CLINIC MANAGER)
(918) 696-4065
Entity
Organization

Contact information

Practice address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971
Mailing address
1401 W LOCUST ST, SUITE 102, STILWELL, OK 74960-3217
(918) 696-4065
(918) 696-5971

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3245
OK

Other

Enumeration date
08/24/2007
Last updated
08/24/2007
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