Osumc Professional Services Llc | |
112 W 5th Street Okmulgee OK 74447-0000 | |
(918) 752-1080 | |
(918) 752-1081 |
Full Name | Osumc Professional Services Llc |
---|---|
Speciality | Family Medicine |
Location | 112 W 5th Street, Okmulgee, Oklahoma |
Authorized Official Name and Position | Samantha Kay Overfield (CREDENTIALING ADMINISTRATOR) |
Authorized Official Contact | 9185615714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Osumc Professional Services Llc 2401 Southwest Blvd Tulsa OK 74107-2726 Ph: (918) 561-5701 | Osumc Professional Services Llc 112 W 5th Street Okmulgee OK 74447-0000 Ph: (918) 752-1080 |
NPI Number | 1730793696 |
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Provider Enumeration Date | 09/08/2020 |
Last Update Date | 09/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730793696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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