| S Bar D, Inc. | |
|
109 N Fairland St Ste 109 Pryor OK 74361-4225 | |
| (918) 825-3107 | |
| (918) 825-3128 |
| Full Name | S Bar D, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 109 N Fairland St Ste 109, Pryor, Oklahoma |
| Authorized Official Name and Position | Kristi Rene Fink (OFFICE MANAGER) |
| Authorized Official Contact | 9188253107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Bar D, Inc. 109 N Fairland St Ste 109 Pryor OK 74361-4225 Ph: (918) 825-3107 | S Bar D, Inc. 109 N Fairland St Ste 109 Pryor OK 74361-4225 Ph: (918) 825-3107 |
| NPI Number | 1235302555 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Medicare PECOS PAC ID | 6901920503 |
|---|---|
| Medicare Enrollment ID | O20100903000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235302555 | NPI | - | NPPES |
| 1104854876 | Other | NPI | |
| 446604203006 | Other | BLUECROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18074 (Oklahoma) | Primary |
| Provider Name | Steven L Dill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104854876 PECOS PAC ID: 3072637875 Enrollment ID: I20100831000842 |
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