| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7936 Us Hwy 277, Elgin, Oklahoma |
| Authorized Official Name and Position | Penny Lynn Hoover (OWNER) |
| Authorized Official Contact | 5804926900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 429 Elgin OK 73538-0429 Ph: (580) 492-6900 | 7936 Us Hwy 277 Elgin OK 73538 Ph: (580) 492-6900 |
| NPI Number | 1285816702 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285816702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19634 (Oklahoma) | Primary |
Duncan Regional Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8148 State Highway 17, Elgin, OK 73538 Phone: 580-454-2273 Fax: 580-454-2275 | |