Full Name | |
---|---|
Speciality | Clinic/center |
Location | 3000 N Main St, Altus, Oklahoma |
Authorized Official Name and Position | Kevin J Owens (OWNER) |
Authorized Official Contact | 5807823353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1 Wickersham St Mangum OK 73554-9117 Ph: (580) 782-3353 | 3000 N Main St Altus OK 73521-1348 Ph: (580) 782-3353 |
NPI Number | 1679966709 |
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Provider Enumeration Date | 03/13/2015 |
Last Update Date | 11/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679966709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Altus Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Falcon Rd, Altus, OK 73521 Phone: 580-482-4499 Fax: 580-482-4449 | |
Noble L Ballard.medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 East Broadway Street, Stuite 101, Altus, OK 73521 Phone: 580-480-1900 Fax: 580-477-1936 | |