| Medical Clinic Of Mcalester, Llc | |
|
320 E Delaware Ave Mcalester OK 74501-5512 | |
| (918) 423-5916 | |
| (918) 423-5967 |
| Full Name | Medical Clinic Of Mcalester, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 E Delaware Ave, Mcalester, Oklahoma |
| Authorized Official Name and Position | Nelson C Onaro (OWNER) |
| Authorized Official Contact | 9184235916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Of Mcalester, Llc Po Box 1006 Mcalester OK 74502-1006 Ph: (918) 423-5916 | Medical Clinic Of Mcalester, Llc 320 E Delaware Ave Mcalester OK 74501-5512 Ph: (918) 423-5916 |
| NPI Number | 1548459266 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548459266 | NPI | - | NPPES |
| 100069700C | Medicaid | OK | |
| 7048926 | Other | OK | CIGNA |
| 158744003 | Other | OK | AR MEDICAID |
| 610872700 | Other | OK | DOL |
| 419909840001 | Other | OK | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3437 (Oklahoma) | Primary |
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