| Mayes County Hmpn, Llc | |
|
1301 Ne 1st St Pryor OK 74361-8850 | |
| (918) 824-7714 | |
| Not Available |
| Full Name | Mayes County Hmpn, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 Ne 1st St, Pryor, Oklahoma |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayes County Hmpn, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Mayes County Hmpn, Llc 1301 Ne 1st St Pryor OK 74361-8850 Ph: (918) 824-7714 |
| NPI Number | 1124399233 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 11/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124399233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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