Organization
SKIATOOK OSTEOPATHIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH JOSEPH WOLF D. O. (PRESIDENT)
(918) 396-1262
Entity
Organization
Contact information
Practice address
201 E 2ND ST, POB 428, SKIATOOK, OK 74070-1211
(918) 396-1262
(918) 396-4598
Mailing address
201 E 2ND ST, POB 428, SKIATOOK, OK 74070-1211
(918) 396-1262
(918) 396-4598
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306856026
NPI
OK
01
—
1568483758
NPI
OK
Enumeration date
05/14/2007
Last updated
08/22/2020
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