Organization
CHICKASAW NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L. SMITH (DIRECTOR)
(405) 767-8942
Entity
Organization
Contact information
Practice address
1603 S GREEN AVE, BOX 1620, PURCELL, OK 73080-6210
(405) 527-4973
(405) 527-8058
Mailing address
1603 S GREEN AVE, BOX 1620, PURCELL, OK 73080-6210
(405) 527-4973
(405) 527-8058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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