Organization
SUN ENTERPRISES INC.
Active
Other names
Mid-West Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES QUINLAN MD (PRESIDENT)
(580) 399-3067
Entity
Organization
Contact information
Practice address
800 ROLLING HILLS LN, ADA, OK 74820-9488
(580) 399-3067
Mailing address
800 ROLLING HILLS LN, ADA, OK 74820
(580) 399-3067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15587
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177170A
—
OK
05
—
100742520A
—
OK
Enumeration date
11/20/2007
Last updated
05/08/2010
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