| The Updike Clinic | |
|
15495 N 247 Rd Okmulgee OK 74447-7969 | |
| (918) 733-1351 | |
| (918) 733-1353 |
| Full Name | The Updike Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 15495 N 247 Rd, Okmulgee, Oklahoma |
| Authorized Official Name and Position | Wesley Alan Updike (OWNER) |
| Authorized Official Contact | 9187331351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Updike Clinic 15495 N 247 Rd Okmulgee OK 74447-7969 Ph: (918) 733-1351 | The Updike Clinic 15495 N 247 Rd Okmulgee OK 74447-7969 Ph: (918) 733-1351 |
| NPI Number | 1982309894 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 4486019338 |
|---|---|
| Medicare Enrollment ID | O20230427001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982309894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wesley Alan Updike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623884 PECOS PAC ID: 9931357639 Enrollment ID: I20130205000361 |
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