Skiatook Osteopathic Clinic, Inc | |
201 E 2nd St Pob 428 Skiatook OK 74070-1211 | |
(918) 396-1262 | |
(918) 396-4598 |
Full Name | Skiatook Osteopathic Clinic, Inc |
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Speciality | Clinic/center - Primary Care |
Location | 201 E 2nd St, Skiatook, Oklahoma |
Authorized Official Name and Position | Rudolph Joseph Wolf (PRESIDENT) |
Authorized Official Contact | 9183961262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Skiatook Osteopathic Clinic, Inc 201 E 2nd St Pob 428 Skiatook OK 74070-1211 Ph: (918) 396-1262 | Skiatook Osteopathic Clinic, Inc 201 E 2nd St Pob 428 Skiatook OK 74070-1211 Ph: (918) 396-1262 |
NPI Number | 1609081538 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609081538 | NPI | - | NPPES |
1306856026 | Other | OK | NPI |
1568483758 | Other | OK | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Skiatook Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Skiatook, OK 74070 Phone: 918-396-1262 Fax: 918-396-4598 |