| Eastside Clinic | |
|
1102 Se 36th St Lawton OK 73501-8462 | |
| (580) 351-2278 | |
| (580) 353-0462 |
| Full Name | Eastside Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1102 Se 36th St, Lawton, Oklahoma |
| Authorized Official Name and Position | Wendy S Bartanen (PRESIDENT) |
| Authorized Official Contact | 5803512278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Clinic 1102 Se 36th St Lawton OK 73501-8462 Ph: (580) 351-2278 | Eastside Clinic 1102 Se 36th St Lawton OK 73501-8462 Ph: (580) 351-2278 |
| NPI Number | 1114126331 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114126331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20119 (Oklahoma) | Primary |
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