| Westeren Gastrointeseinal Association | |
|
1800 W 3rd St Elk City OK 73644-5146 | |
| (580) 210-0040 | |
| (405) 330-9082 |
| Full Name | Westeren Gastrointeseinal Association |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1800 W 3rd St, Elk City, Oklahoma |
| Authorized Official Name and Position | Hugh M Leavens (OWNER) |
| Authorized Official Contact | 5802100040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westeren Gastrointeseinal Association Po Box 189 Elk City OK 73648-0189 Ph: (580) 210-0040 | Westeren Gastrointeseinal Association 1800 W 3rd St Elk City OK 73644-5146 Ph: (580) 210-0040 |
| NPI Number | 1306119409 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306119409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 27215 (Oklahoma) | Primary |
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