Organization
URGENT CARE CLINIC OF ATOKA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL W EMERSON DO (OWNER/PRESIDENT)
(580) 889-6621
Entity
Organization
Contact information
Practice address
1510 S. VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-6621
(580) 889-3602
Mailing address
1510 S. VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-6621
(580) 889-3602
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1806
OK
207Q00000X
Family Medicine Physician
Primary
3521
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733090C
—
OK
Enumeration date
11/28/2006
Last updated
11/07/2012
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