Osu-aj Warren Clinic Pediatrics Coweta | |
30011 E State Highway 51 Coweta OK 74429-7681 | |
(918) 561-8306 | |
(918) 561-5747 |
Full Name | Osu-aj Warren Clinic Pediatrics Coweta |
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Speciality | Clinic/center |
Location | 30011 E State Highway 51, Coweta, Oklahoma |
Authorized Official Name and Position | Eric John Polak (VISE PRESIDENT OF ADMIN AND FINANCE) |
Authorized Official Contact | 9185618422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Osu-aj Warren Clinic Pediatrics Coweta 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj Warren Clinic Pediatrics Coweta 30011 E State Highway 51 Coweta OK 74429-7681 Ph: (918) 561-8306 |
NPI Number | 1659998938 |
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Provider Enumeration Date | 07/02/2020 |
Last Update Date | 06/28/2023 |
Identifier | Type | State | Issuer |
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1659998938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Coweta Medical Group,p.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28622 E 141st St So., Coweta, OK 74429 Phone: 918-486-7425 | |
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Drayer Physical Therapy Oklahoma Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11319 S State Highway 51 Ste 900, Coweta, OK 74429 Phone: 918-887-8112 Fax: 918-887-8114 |