Organization
RURAL WELLNESS FAIRFAX INC
Active
Other names
Rural Wellness Fairfax Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J PUSEY (PRESIDENT)
(949) 645-2321
Entity
Organization
Contact information
Practice address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-8827
(918) 642-3298
Mailing address
2524 N BROADWAY, EDMOND, OK 73034-4172
(949) 322-4337
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2020
Last updated
10/21/2024
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