| Loftin Family Practice | |
|
1323 W Keetoowah St Tahlequah OK 74464-3462 | |
| (918) 456-3425 | |
| (918) 456-3107 |
| Full Name | Loftin Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 1323 W Keetoowah St, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Teresa Diane Loftin (OWNER) |
| Authorized Official Contact | 9184563425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loftin Family Practice 1323 W Keetoowah St Tahlequah OK 74464-3462 Ph: (918) 456-3425 | Loftin Family Practice 1323 W Keetoowah St Tahlequah OK 74464-3462 Ph: (918) 456-3425 |
| NPI Number | 1295920734 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295920734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22820 (Oklahoma) | Primary |
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