Oak Medical Practice, P.c. | |
2001 W 21st St Clovis NM 88101-4086 | |
(575) 935-1625 | |
(575) 935-1626 |
Full Name | Oak Medical Practice, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 2001 W 21st St, Clovis, New Mexico |
Authorized Official Name and Position | Oyinkan Kokoricha (OFFICE MANAGER) |
Authorized Official Contact | 5759351625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oak Medical Practice, P.c. 2001 W 21st St Clovis NM 88101-4086 Ph: (575) 935-1625 | Oak Medical Practice, P.c. 2001 W 21st St Clovis NM 88101-4086 Ph: (575) 935-1625 |
NPI Number | 1376846568 |
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Provider Enumeration Date | 12/10/2010 |
Last Update Date | 04/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376846568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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