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1901 W 3rd St Suite B Elk City OK 73644-4337 | |
| (580) 225-1086 | |
| (580) 225-2429 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1901 W 3rd St, Elk City, Oklahoma |
| Authorized Official Name and Position | Roy L Ikner (CEO) |
| Authorized Official Contact | 5802252511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1901 W 3rd St Suite B Elk City OK 73644-4337 Ph: (580) 225-1086 | 1901 W 3rd St Suite B Elk City OK 73644-4337 Ph: (580) 225-1086 |
| NPI Number | 1073759403 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073759403 | NPI | - | NPPES |
| 13625 | Other | OK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2210 (Oklahoma) | Primary |
Whinery Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1710 W 3rd St, Suite 103, Elk City, OK 73644 Phone: 580-225-1290 Fax: 580-225-2178 | |
Skinner Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 S Main St, Elk City, OK 73644 Phone: 580-977-4721 Fax: 605-273-3695 | |
Scott A Williams D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 W 3rd St, Suite A, Elk City, OK 73644 Phone: 580-225-2663 Fax: 580-225-2373 | |
Jamie L Gore Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W 3rd St, Elk City, OK 73644 Phone: 580-225-5900 |