| Ahs Oklahoma Physician Group, Llc | |
|
562 S Elliott St Pryor OK 74361-6411 | |
| (918) 825-3389 | |
| (918) 825-5505 |
| Full Name | Ahs Oklahoma Physician Group, Llc |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 562 S Elliott St, Pryor, Oklahoma |
| Authorized Official Name and Position | Paul E. Battles (PROVIDER) |
| Authorized Official Contact | 9188253389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahs Oklahoma Physician Group, Llc 562 S Elliott St Pryor OK 74361-6411 Ph: (918) 825-3389 | Ahs Oklahoma Physician Group, Llc 562 S Elliott St Pryor OK 74361-6411 Ph: (918) 825-3389 |
| NPI Number | 1972628352 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972628352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 2080 (Oklahoma) | Primary |
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