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403 Redbud Ln Chelsea OK 74016-1453 | |
(918) 789-3146 | |
(918) 789-5650 |
Full Name | |
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Speciality | Family Medicine |
Location | 403 Redbud Ln, Chelsea, Oklahoma |
Authorized Official Name and Position | Rodger Curtis Mattson (PRESIDENT) |
Authorized Official Contact | 9187893146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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403 Redbud Ln Chelsea OK 74016-1453 Ph: (918) 789-3146 | 403 Redbud Ln Chelsea OK 74016-1453 Ph: (918) 789-3146 |
NPI Number | 1124178637 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124178637 | NPI | - | NPPES |
2000014530C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4042 (Oklahoma) | Primary |