Physicians Clinic | |
1401 W Locust St Suite 102 Stilwell OK 74960-3217 | |
(918) 696-4065 | |
(918) 696-5971 |
Full Name | Physicians Clinic |
---|---|
Speciality | Family Medicine |
Location | 1401 W Locust St, Stilwell, Oklahoma |
Authorized Official Name and Position | Alan L Adams (CEO) |
Authorized Official Contact | 9186963101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Physicians Clinic 1401 W Locust St Suite 102 Stilwell OK 74960-3217 Ph: (918) 696-4065 | Physicians Clinic 1401 W Locust St Suite 102 Stilwell OK 74960-3217 Ph: (918) 696-4065 |
NPI Number | 1326017492 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 05/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326017492 | NPI | - | NPPES |
100700030E | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 |