| Gemini Pawhuska Clinic | |
|
701 Leahy Pawhuska OK 74056 | |
| (918) 287-1310 | |
| (918) 287-1727 |
| Full Name | Gemini Pawhuska Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Leahy, Pawhuska, Oklahoma |
| Authorized Official Name and Position | Gayle J Burden (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9183311090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Pawhuska Clinic 226 Se Debell Ave Bldg A Bartlesville OK 74006-2343 Ph: (918) 287-1310 | Gemini Pawhuska Clinic 701 Leahy Pawhuska OK 74056 Ph: (918) 287-1310 |
| NPI Number | 1265591416 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265591416 | NPI | - | NPPES |
| 100745780A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2973 (Oklahoma) | Primary |
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