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1611 Main St Ste 204 Woodward OK 73801-3064 | |
| (580) 290-5055 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1611 Main St Ste 204, Woodward, Oklahoma |
| Authorized Official Name and Position | Chandra Ake (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 5802905055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
916 N Elm St Seiling OK 73663-6345 Ph: (580) 922-1385 | 1611 Main St Ste 204 Woodward OK 73801-3064 Ph: (580) 290-5055 |
| NPI Number | 1346836137 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 06/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346836137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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