Scarlett Custer Do Pc | |
8734 N 4003 Dr Box 309 Copan OK 74022-0309 | |
(918) 214-4068 | |
Not Available |
Full Name | Scarlett Custer Do Pc |
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Speciality | Family Medicine |
Location | 8734 N 4003 Dr Box 309, Copan, Oklahoma |
Authorized Official Name and Position | Scarlett Florence Custer (DOCTOR) |
Authorized Official Contact | 9182144068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Scarlett Custer Do Pc Po Box 309 Copan OK 74022-0309 Ph: (918) 214-4068 | Scarlett Custer Do Pc 8734 N 4003 Dr Box 309 Copan OK 74022-0309 Ph: (918) 214-4068 |
NPI Number | 1467691535 |
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Provider Enumeration Date | 02/13/2009 |
Last Update Date | 04/17/2013 |
Identifier | Type | State | Issuer |
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1467691535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 3401 (Oklahoma) | Primary |