| Sarah Whitewater | |
|
508 Cherokee Gate Dr Mustang OK 73064-0334 | |
| (405) 779-4334 | |
| Not Available |
| Full Name | Sarah Whitewater |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 508 Cherokee Gate Dr, Mustang, Oklahoma |
| Authorized Official Name and Position | Sarah Whitewater (OWNER) |
| Authorized Official Contact | 4057794334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Whitewater Po Box 334 Mustang OK 73064-0334 Ph: (405) 779-4334 | Sarah Whitewater 508 Cherokee Gate Dr Mustang OK 73064-0334 Ph: (405) 779-4334 |
| NPI Number | 1144573080 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144573080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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