Doctors Clinic Of Durant Inc | |
1400 Bryan Dr Suite 300 Durant OK 74701-2156 | |
(580) 924-1700 | |
(580) 924-1736 |
Full Name | Doctors Clinic Of Durant Inc |
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Speciality | Family Medicine |
Location | 1400 Bryan Dr, Durant, Oklahoma |
Authorized Official Name and Position | Koteswar Rao Sureddi (OWNER) |
Authorized Official Contact | 5809241700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doctors Clinic Of Durant Inc 1400 Bryan Dr Suite 300 Durant OK 74701 Ph: (580) 924-1700 | Doctors Clinic Of Durant Inc 1400 Bryan Dr Suite 300 Durant OK 74701-2156 Ph: (580) 924-1700 |
NPI Number | 1598850331 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598850331 | NPI | - | NPPES |
100733950B | Medicaid | OK | |
200076210G | Medicaid | OK | |
100177390A | Medicaid | OK |
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