| Ironhead Medical Clinic | |
|
915 W Gentry Ave Checotah OK 74426-2026 | |
| (918) 617-9000 | |
| Not Available |
| Full Name | Ironhead Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 915 W Gentry Ave, Checotah, Oklahoma |
| Authorized Official Name and Position | Eric Timothy Hogan (PRESIDENT) |
| Authorized Official Contact | 9186179000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ironhead Medical Clinic Po Box 846 Eufaula OK 74432-0846 Ph: (918) 617-9000 | Ironhead Medical Clinic 915 W Gentry Ave Checotah OK 74426-2026 Ph: (918) 617-9000 |
| NPI Number | 1609320092 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609320092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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