| Phoenix Primary Care, Llc | |
|
557 Harrison St Pawnee OK 74058-2566 | |
| (918) 762-5050 | |
| (877) 515-8550 |
| Full Name | Phoenix Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 557 Harrison St, Pawnee, Oklahoma |
| Authorized Official Name and Position | Niko Koliastasis (CEO) |
| Authorized Official Contact | 9186363930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Primary Care, Llc 209 N Oak St Sallisaw OK 74955-4639 Ph: (918) 503-6276 | Phoenix Primary Care, Llc 557 Harrison St Pawnee OK 74058-2566 Ph: (918) 762-5050 |
| NPI Number | 1952890337 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952890337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Gordon P. Laird, D.o. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Illinois St, Pawnee, OK 74058 Phone: 918-762-3602 Fax: 187-622-9529 | |
Unity Healthcare Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Beck Drive, Pawnee, OK 74058 Phone: 918-762-1073 | |
Pawnee Health & Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Boulder St, Pawnee, OK 74058 Phone: 918-762-3601 Fax: 918-762-2544 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 877-515-8550 | |
W. Edward Clymer, Do Pawnee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 Fax: 918-762-3510 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 918-762-5055 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 |