Eastside Clinic | |
1102 Se 36th St Lawton OK 73501-8462 | |
(580) 351-2278 | |
(580) 353-0462 |
Full Name | Eastside Clinic |
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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 |
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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 |
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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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