Main Street Family Medical Clinic | |
3000 N Main St Suite A Altus OK 73521 | |
(580) 477-4522 | |
(580) 477-4727 |
Full Name | Main Street Family Medical Clinic |
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Speciality | Family Medicine |
Location | 3000 N Main St, Altus, Oklahoma |
Authorized Official Name and Position | David Blackmon (CFO) |
Authorized Official Contact | 5803558620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Main Street Family Medical Clinic Po Box 785 Lawton OK 73502 Ph: (580) 357-9984 | Main Street Family Medical Clinic 3000 N Main St Suite A Altus OK 73521 Ph: (580) 477-4522 |
NPI Number | 1457377822 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457377822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14363 (Oklahoma) | Primary |
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