| |
1301 Ne 1st St Pryor OK 74361-8850 | |
(918) 824-7777 | |
(918) 824-6414 |
Full Name | |
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Speciality | Family Medicine |
Location | 1301 Ne 1st St, Pryor, Oklahoma |
Authorized Official Name and Position | Douglas Kent Weaver (PRESIDENT) |
Authorized Official Contact | 9188251600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1301 Ne 1st St Pryor OK 74361-8850 Ph: (918) 824-7777 | 1301 Ne 1st St Pryor OK 74361-8850 Ph: (918) 824-7777 |
NPI Number | 1881659746 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 03/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881659746 | NPI | - | NPPES |
200039950A | Medicaid | OK | |
37D1030240 | Other | OK | CLIA |
Mayes County Hmpn, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Ne 1st St, Pryor, OK 74361 Phone: 918-824-7714 | |
S Bar D, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N Fairland St Ste 109, Pryor, OK 74361 Phone: 918-825-3107 Fax: 918-825-3128 | |
Prophylaxis Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Mill St, Pryor, OK 74361 Phone: 918-825-3777 Fax: 918-825-3776 | |