| |
209 S 30th St Clinton OK 73601-3100 | |
(580) 323-7800 | |
(580) 323-7803 |
Full Name | |
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Speciality | Family Medicine |
Location | 209 S 30th St, Clinton, Oklahoma |
Authorized Official Name and Position | Stacey D Knapp (PROVIDER/OWNER) |
Authorized Official Contact | 5803237800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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209 S 30th St Clinton OK 73601-3100 Ph: (580) 323-7800 | 209 S 30th St Clinton OK 73601-3100 Ph: (580) 323-7800 |
NPI Number | 1689675688 |
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Provider Enumeration Date | 08/02/2005 |
Last Update Date | 08/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689675688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20-1347913 (Oklahoma) | Primary |
Robert V Blakeburn Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Frisco Ave, Clinton, OK 73601 Phone: 580-323-2700 Fax: 580-323-2718 | |
Westview Health Clinic, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Hayes Ave, Clinton, OK 73601 Phone: 580-323-1937 | |
Gary G. Hays Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 S 30th St, Clinton, OK 73601 Phone: 580-323-4141 Fax: 580-323-5065 | |
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