Organization
ALTUS MINOR EMERGENCY & FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET MOSS APRN (OWNER)
(580) 318-0229
Entity
Organization
Contact information
Practice address
916 N MAIN ST, ALTUS, OK 73521-3118
(580) 318-0229
(580) 480-0044
Mailing address
916 N MAIN ST, ALTUS, OK 73521-3118
(580) 318-0229
(580) 480-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
03/02/2016
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