| Physicians Clinic Dba Nicholas Bentley, D.o. | |
|
1401 W Locust St 102 Stilwell OK 74960-3217 | |
| (918) 696-4065 | |
| (918) 696-5971 |
| Full Name | Physicians Clinic Dba Nicholas Bentley, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 W Locust St, Stilwell, Oklahoma |
| Authorized Official Name and Position | Beverly A. Ross (CLINIC MANAGER) |
| Authorized Official Contact | 9186964065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Clinic Dba Nicholas Bentley, D.o. 1401 W Locust St 102 Stilwell OK 74960-3217 Ph: (918) 696-4065 | Physicians Clinic Dba Nicholas Bentley, D.o. 1401 W Locust St 102 Stilwell OK 74960-3217 Ph: (918) 696-4065 |
| NPI Number | 1730369547 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730369547 | NPI | - | NPPES |
| 100200460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2348 (Oklahoma) | Primary |
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Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Locust St, Suite 102, Stilwell, OK 74960 Phone: 918-696-4065 Fax: 918-696-5971 | |
Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Locust St, Suite 102, Stilwell, OK 74960 Phone: 918-696-4065 Fax: 918-696-5971 |