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610 N. Hoy Suite B Buffalo OK 73834-0600 | |
(580) 735-2911 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 610 N. Hoy, Buffalo, Oklahoma |
Authorized Official Name and Position | Shawna S. Herd (OFFICE MANGER) |
Authorized Official Contact | 5807352911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 600 Buffalo OK 73834-0600 Ph: (580) 735-2911 | 610 N. Hoy Suite B Buffalo OK 73834-0600 Ph: (580) 735-2911 |
NPI Number | 1801023890 |
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Provider Enumeration Date | 06/17/2009 |
Last Update Date | 06/17/2009 |
Medicare PECOS PAC ID | 9638081433 |
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Medicare Enrollment ID | O20200421001302 |
Identifier | Type | State | Issuer |
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1801023890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |