| Dycus-camp Clinic Inc | |
|
320 N Service Rd Moore OK 73160-4945 | |
| (405) 794-4474 | |
| Not Available |
| Full Name | Dycus-camp Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 N Service Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Shelley R Shelton (OFFICE MANAGER) |
| Authorized Official Contact | 4057944474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dycus-camp Clinic Inc 320 N Service Rd Moore OK 73160-4945 Ph: (405) 794-4474 | Dycus-camp Clinic Inc 320 N Service Rd Moore OK 73160-4945 Ph: (405) 794-4474 |
| NPI Number | 1982896544 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982896544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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