Organization
DOCTOR'S CLINIC OF DURANT, INC.
Active
Other names
TriCounty Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EDIE HOWELL (OFFICE MANAGER)
(580) 775-1656
Entity
Organization
Contact information
Practice address
102 N CHOCTAW, WAPANUCKA, OK 73461
(580) 937-9900
(580) 937-9935
Mailing address
PO BOX 97, WAPANUCKA, OK 73461-0097
(580) 937-9900
(580) 937-9935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11978
OK
207V00000X
Obstetrics & Gynecology Physician
11979
OK
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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