| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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