Full Name | |
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Speciality | Family Medicine |
Location | 201 N Main St, Yale, Oklahoma |
Authorized Official Name and Position | Robert Langland (CFO) |
Authorized Official Contact | 9185791000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 Ph: (918) 579-3825 | 201 N Main St Yale OK 74085-2509 Ph: (918) 387-2407 |
NPI Number | 1902960297 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902960297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |