| Dtc | |
|
202 E Cherokee Ave Sallisaw OK 74955-4600 | |
| (918) 790-2890 | |
| (918) 790-2906 |
| Full Name | Dtc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 E Cherokee Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Steven W Delia (OWER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9187902890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtc 202 East Cherokee St Sallisaw OK 74955 Ph: (918) 790-2890 | Dtc 202 E Cherokee Ave Sallisaw OK 74955-4600 Ph: (918) 790-2890 |
| NPI Number | 1750677746 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750677746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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