Organization
SEMINOLE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA LEE BUTNER ARNP (PARTNER)
(405) 382-4939
Entity
Organization
Contact information
Practice address
2403 W WRANGLER BLVD, STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Mailing address
2403 W WRANGLER BLVD, STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748760A
—
OK
Enumeration date
06/20/2005
Last updated
06/13/2014
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