| |
2 S Coo Y Yah St Ste.4 Pryor OK 74361-4636 | |
(918) 825-2525 | |
(918) 825-2615 |
Full Name | |
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Speciality | Clinic/center |
Location | 2 S Coo Y Yah St, Pryor, Oklahoma |
Authorized Official Name and Position | Jo Lieta W Bright (PRESIDENT) |
Authorized Official Contact | 9188252525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2 S Coo Y Yah St Ste.4 Pryor OK 74361-4636 Ph: (918) 825-2525 | 2 S Coo Y Yah St Ste.4 Pryor OK 74361-4636 Ph: (918) 825-2525 |
NPI Number | 1033238530 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033238530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2579 (Oklahoma) | Primary |
Mayes County Hmpn, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Ne 1st St, Pryor, OK 74361 Phone: 918-824-7714 | |
S Bar D, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N Fairland St Ste 109, Pryor, OK 74361 Phone: 918-825-3107 Fax: 918-825-3128 | |
Prophylaxis Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Mill St, Pryor, OK 74361 Phone: 918-825-3777 Fax: 918-825-3776 | |