| Advance Food Company Employee's Medical Clinic | |
|
915 E Garriott Rd Suite D Enid OK 73701-6156 | |
| (580) 234-8998 | |
| (580) 234-8465 |
| Full Name | Advance Food Company Employee's Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 915 E Garriott Rd, Enid, Oklahoma |
| Authorized Official Name and Position | Carl B. Lawrence (PRESIDENT AND CEO) |
| Authorized Official Contact | 4059512616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Food Company Employee's Medical Clinic Po Box 5038 Enid OK 73702-5038 Ph: (580) 548-1367 | Advance Food Company Employee's Medical Clinic 915 E Garriott Rd Suite D Enid OK 73701-6156 Ph: (580) 234-8998 |
| NPI Number | 1053327486 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053327486 | NPI | - | NPPES |
| 37D1036503 | Other | OK | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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