| Clifford G. Wlodaver M.d., P.c. | |
|
8121 National Ave Suite 310 Midwest City OK 73110-7530 | |
| (405) 737-3100 | |
| (405) 737-3109 |
| Full Name | Clifford G. Wlodaver M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8121 National Ave, Midwest City, Oklahoma |
| Authorized Official Name and Position | Clifford G Wlodaver (PRESIDENT) |
| Authorized Official Contact | 4057373100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford G. Wlodaver M.d., P.c. 8121 National Ave Suite 310 Midwest City OK 73110-7530 Ph: (405) 737-3100 | Clifford G. Wlodaver M.d., P.c. 8121 National Ave Suite 310 Midwest City OK 73110-7530 Ph: (405) 737-3100 |
| NPI Number | 1932319548 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 0143380709 |
|---|---|
| Medicare Enrollment ID | O20081201000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932319548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 13905 (Oklahoma) | Primary |
| Provider Name | Clifford G Wlodaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689638975 PECOS PAC ID: 9234299835 Enrollment ID: I20081126000278 |
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