Organization
SDO GROUP LLC
Active
Other names
Skiatook Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYNE E SUBERA D.O (OWNER)
(918) 396-1262
Entity
Organization
Contact information
Practice address
201 E 2ND ST, SKIATOOK, OK 74070-1211
(918) 396-1262
(918) 396-4598
Mailing address
201 E 2ND ST, SKIATOOK, OK 74070-1211
(918) 396-1262
(918) 396-4598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3385
OK
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
07/14/2023
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