Aetherius Medical Llc | |
408 N Main St Noble OK 73068-9574 | |
(405) 339-5261 | |
Not Available |
Full Name | Aetherius Medical Llc |
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Speciality | Family Medicine |
Location | 408 N Main St, Noble, Oklahoma |
Authorized Official Name and Position | Krysten Mescan (OWNER - FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 4053395261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aetherius Medical Llc 12300 Swanhaven Dr Oklahoma City OK 73170-4749 Ph: (405) 339-5261 | Aetherius Medical Llc 408 N Main St Noble OK 73068-9574 Ph: (405) 339-5261 |
NPI Number | 1851103063 |
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Provider Enumeration Date | 01/23/2025 |
Last Update Date | 01/23/2025 |
Identifier | Type | State | Issuer |
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1851103063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Noble Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S. Main, Noble, OK 73068 Phone: 405-872-5403 Fax: 405-872-5407 | |
Noble Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 N Main St, Noble, OK 73068 Phone: 405-677-3378 | |
Noble Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Maguire Rd, Ste 4000, Noble, OK 73068 Phone: 405-872-9494 Fax: 405-872-9464 |