Perry Family Practice | |
505 14th St Perry OK 73077 | |
(580) 336-3529 | |
Not Available |
Full Name | Perry Family Practice |
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Speciality | Family Medicine |
Location | 505 14th St, Perry, Oklahoma |
Authorized Official Name and Position | Michael D Hartwig (PARTNER) |
Authorized Official Contact | 5803363529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Perry Family Practice 505 14th St Perry OK 73077 Ph: (580) 336-3529 | Perry Family Practice 505 14th St Perry OK 73077 Ph: (580) 336-3529 |
NPI Number | 1063520260 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063520260 | NPI | - | NPPES |
690730001007 | Other | OK | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 N 14th St, Perry, OK 73077 Phone: 580-336-3529 | |