| Wellspring Family Clinic Llc | |
|
104 S Oak St Ste. B Sallisaw OK 74955-4624 | |
| (918) 775-0075 | |
| (918) 775-0063 |
| Full Name | Wellspring Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 S Oak St, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Kristi Sager (OWNER/PRACTITIONER) |
| Authorized Official Contact | 9184610422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Family Clinic Llc 4623 W Kenosha St Broken Arrow OK 74012-8975 Ph: (918) 461-0422 | Wellspring Family Clinic Llc 104 S Oak St Ste. B Sallisaw OK 74955-4624 Ph: (918) 775-0075 |
| NPI Number | 1265813307 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265813307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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