| Western Gastrointestinal Assoc | |
|
1801 W 3rd St Elk City OK 73644-5145 | |
| (580) 210-0040 | |
| Not Available |
| Full Name | Western Gastrointestinal Assoc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1801 W 3rd St, Elk City, Oklahoma |
| Authorized Official Name and Position | Hugu M Leavens (OWNER) |
| Authorized Official Contact | 5802100040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Gastrointestinal Assoc 1801 West 1st Street Elk City OK 73644 Ph: (580) 210-0040 | Western Gastrointestinal Assoc 1801 W 3rd St Elk City OK 73644-5145 Ph: (580) 210-0040 |
| NPI Number | 1780958090 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780958090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 27215 (Oklahoma) | Primary |
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