Organization
THE MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M HULL M.D. (OWNER)
(580) 824-0330
Entity
Organization
Contact information
Practice address
1630 SANTA FE ST., WAYNOKA, OK 73860-0000
(580) 824-0330
(580) 824-0939
Mailing address
1630 SANTA FE ST, WAYNOKA, OK 73860-0000
(580) 824-0330
(580) 824-0939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28454
OK
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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