Ssm Health Harrah Ambulatory Care | |
18961 Ne 23rd Street Harrah OK 73045 | |
(405) 772-4650 | |
(405) 772-4653 |
Full Name | Ssm Health Harrah Ambulatory Care |
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Speciality | Family Medicine |
Location | 18961 Ne 23rd Street, Harrah, Oklahoma |
Authorized Official Name and Position | Crystal L Pena (PROVIDER ENROLLMENT) |
Authorized Official Contact | 4052727452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ssm Health Harrah Ambulatory Care 18961 Ne 23rd Street Harrah OK 73045 Ph: (405) 772-4650 | Ssm Health Harrah Ambulatory Care 18961 Ne 23rd Street Harrah OK 73045 Ph: (405) 772-4650 |
NPI Number | 1457540015 |
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Provider Enumeration Date | 10/19/2007 |
Last Update Date | 03/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457540015 | NPI | - | NPPES |
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