Organization
THREE C'S MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNE P THOMPSON D.O., MPH (CEO)
(918) 587-5100
Entity
Organization
Contact information
Practice address
2526 W EDISON ST, TULSA, OK 74127-6128
(918) 587-5100
Mailing address
PO BOX 27434, TULSA, OK 74149-0434
(918) 587-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3291
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10092790A
—
OK
Enumeration date
02/23/2007
Last updated
08/22/2020
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