Conley Care Clinic | |
1323 N 16th Ave Durant OK 74701-2134 | |
(580) 745-1011 | |
(580) 745-5332 |
Full Name | Conley Care Clinic |
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Speciality | Family Medicine |
Location | 1323 N 16th Ave, Durant, Oklahoma |
Authorized Official Name and Position | John D Conley (PHYSICIAN) |
Authorized Official Contact | 5807451011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Conley Care Clinic 1323 N 16th Ave Durant OK 74701-2134 Ph: (580) 745-1011 | Conley Care Clinic 1323 N 16th Ave Durant OK 74701-2134 Ph: (580) 745-1011 |
NPI Number | 1003060831 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 9638236136 |
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Medicare Enrollment ID | O20220621000843 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003060831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4448 (Oklahoma) | Primary |
Provider Name | John D Conley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659438034 PECOS PAC ID: 4183717564 Enrollment ID: I20070830000172 |
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