Organization
MCALESTER HEART, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENSON (OWNER)
(918) 421-6834
Entity
Organization
Contact information
Practice address
2 E CLARK BASS BLVD STE 301, MCALESTER, OK 74501-4210
(918) 421-6834
(918) 421-6838
Mailing address
2 E CLARK BASS BLVD STE 301, MCALESTER, OK 74501-4210
(918) 421-6834
(918) 421-6838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23696
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000018790A
—
OK
Enumeration date
08/07/2006
Last updated
08/22/2020
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