Organization
MEDNOW PRIMARY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE CLAMPITT (BILLING DIRECTOR)
(918) 286-3730
Entity
Organization
Contact information
Practice address
2036 S MILLER LN, CATOOSA, OK 74015-1520
(918) 739-4552
(918) 739-4529
Mailing address
PO BOX 3940, BROKEN ARROW, OK 74013-3940
(918) 286-3730
(918) 893-2877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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