Organization
R. MICHAEL EIMEN, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI EIMEN (BUSINESS MANAGER)
(918) 865-5000
Entity
Organization
Contact information
Practice address
500 CIMARRON DR, MANNFORD, OK 74044-9504
(918) 865-5000
(918) 865-5050
Mailing address
PO BOX 323, MANNFORD, OK 74044-0323
(918) 865-5000
(918) 865-5050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2520
OK
363AM0700X
Medical Physician Assistant
PA1777
OK
Other
Enumeration date
08/14/2009
Last updated
07/21/2010
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