Organization
SPAVINAW SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE DIANNE MIDGLEY (PRINCIPAL)
(918) 589-2797
Entity
Organization
Contact information
Practice address
100 LAKE AVE, SPAVINAW, OK 74366
(918) 589-2228
(918) 589-2476
Mailing address
P.O. BOX 108, 100 LAKE AVE, SPAVINAW, OK 74366
(918) 589-2228
(918) 589-2476
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
200000840A
OK
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
05/30/2014
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