Organization
SOUTHEASTERN WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C SIEGLE MD (OWNER)
(580) 332-8855
Entity
Organization
Contact information
Practice address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-8855
(580) 332-7374
Mailing address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-8855
(580) 332-7374
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17253
OK
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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