Mcloud Family Practice | |
704 S 8th Street Mcloud OK 74851-0530 | |
(405) 964-6463 | |
(405) 964-2412 |
Full Name | Mcloud Family Practice |
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Speciality | Family Medicine |
Location | 704 S 8th Street, Mcloud, Oklahoma |
Authorized Official Name and Position | Kimberly K Hanigar (OWNER) |
Authorized Official Contact | 4059646463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcloud Family Practice Po Box 530 704 S 8th Street Mcloud OK 74851-0530 Ph: (405) 964-6463 | Mcloud Family Practice 704 S 8th Street Mcloud OK 74851-0530 Ph: (405) 964-6463 |
NPI Number | 1013072644 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013072644 | NPI | - | NPPES |
100126130C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |