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62420 E Highway 137 Miami OK 74354-7474 | |
(918) 314-2295 | |
(866) 659-6935 |
Full Name | |
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Speciality | General Practice |
Location | 62420 E Highway 137, Miami, Oklahoma |
Authorized Official Name and Position | Rita Sue Westenhaver (PHYSICAIN) |
Authorized Official Contact | 9183142295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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62420 E Highway 137 Miami OK 74354-7474 Ph: (918) 314-2295 | 62420 E Highway 137 Miami OK 74354-7474 Ph: (918) 314-2295 |
NPI Number | 1255382941 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 08/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255382941 | NPI | - | NPPES |
731438253-007 | Other | GROUP BCBS | |
100710600E | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2731 (Oklahoma) | Primary |
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