Gastorf Family Clinic Pc | |
1004 N 19th Ave Bldg 2 Durant OK 74701-3017 | |
(580) 931-9135 | |
(580) 931-9161 |
Full Name | Gastorf Family Clinic Pc |
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Speciality | Family Medicine |
Location | 1004 N 19th Ave Bldg 2, Durant, Oklahoma |
Authorized Official Name and Position | Melissa Gastorf (OWNER) |
Authorized Official Contact | 5809319135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gastorf Family Clinic Pc 1004 N 19th Ave Bldg 2 Durant OK 74701-3017 Ph: (580) 931-9135 | Gastorf Family Clinic Pc 1004 N 19th Ave Bldg 2 Durant OK 74701-3017 Ph: (580) 931-9135 |
NPI Number | 1962432625 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962432625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Oklahoma) | Primary |
My Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1004 N 19th Ave Bldg 2, Durant, OK 74701 Phone: 580-924-5622 Fax: 580-745-5060 | |
Jaiswal Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 |