| |
600 E Grand Ave Ste 2 Tonkawa OK 74653-3559 | |
(580) 628-2557 | |
(580) 629-2132 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 600 E Grand Ave Ste 2, Tonkawa, Oklahoma |
Authorized Official Name and Position | Jenna-lyn Klufa (APRN) |
Authorized Official Contact | 5803043093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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600 E Grand Ave Ste 2 Tonkawa OK 74653-3559 Ph: (580) 628-2557 | 600 E Grand Ave Ste 2 Tonkawa OK 74653-3559 Ph: (580) 628-2557 |
NPI Number | 1184145690 |
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Provider Enumeration Date | 07/06/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184145690 | NPI | - | NPPES |
200269930A | Medicaid | OK | |
200689890 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 103267 (Oklahoma) | Primary |
Ronald R Walcher Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Grand Ave, Tonkawa, OK 74653 Phone: 580-628-2557 Fax: 580-628-2132 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Grand Ave, Tonkawa, OK 74653 Phone: 580-308-3080 Fax: 833-973-4377 |