Legacy Spine And Wellness | |
13316 S Western Ave Ste R Oklahoma City OK 73170-7310 | |
(385) 319-9621 | |
Not Available |
Full Name | Legacy Spine And Wellness |
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Speciality | General Practice |
Location | 13316 S Western Ave Ste R, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Kim Hester (OWNER) |
Authorized Official Contact | 3853199621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Spine And Wellness 13316 S Western Ave Ste R Oklahoma City OK 73170-7310 Ph: () - | Legacy Spine And Wellness 13316 S Western Ave Ste R Oklahoma City OK 73170-7310 Ph: (385) 319-9621 |
NPI Number | 1174171714 |
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Provider Enumeration Date | 08/27/2019 |
Last Update Date | 08/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174171714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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