| Sallisaw Family Medicine, L.l.c. | |
|
104 South Oak St Sallisaw OK 74955 | |
| (918) 775-0063 | |
| Not Available |
| Full Name | Sallisaw Family Medicine, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 104 South Oak St, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Frederick Joseph Fuoco (SOLE MEMBER) |
| Authorized Official Contact | 5044956772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallisaw Family Medicine, L.l.c. 5 Tennyson Place New Orleans LA 70131 Ph: (504) 495-6772 | Sallisaw Family Medicine, L.l.c. 104 South Oak St Sallisaw OK 74955 Ph: (918) 775-0063 |
| NPI Number | 1972964666 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972964666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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