Organization
OUR FAMILY DOCTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON R CHILDS MD (PHYSICIAN/OWNER)
(918) 530-9999
Entity
Organization
Contact information
Practice address
12702 E 86TH ST N, OWASSO, OK 74055-2548
(918) 274-9300
Mailing address
12702 E 86TH ST N, OWASSO, OK 74055-2548
(918) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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