Organization
GKS MILBURN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KHOURY DO (OWNER)
(580) 775-2332
Entity
Organization
Contact information
Practice address
104 W F AVE, MILBURN, OK 73450-1504
(580) 443-3533
Mailing address
PO BOX 67, MILBURN, OK 73450-0067
(580) 443-3533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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