Eastern Oklahoma Medical Clinic Inc | |
8315 E 111th St S Ste D Bixby OK 74008-2466 | |
(918) 392-2468 | |
(918) 392-2469 |
Full Name | Eastern Oklahoma Medical Clinic Inc |
---|---|
Speciality | Family Medicine |
Location | 8315 E 111th St S Ste D, Bixby, Oklahoma |
Authorized Official Name and Position | Corey Shawn Schoenewe (PRESIDENT) |
Authorized Official Contact | 9183922468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastern Oklahoma Medical Clinic Inc 8315 E 111th St S Ste D Bixby OK 74008-2466 Ph: (918) 392-2468 | Eastern Oklahoma Medical Clinic Inc 8315 E 111th St S Ste D Bixby OK 74008-2466 Ph: (918) 392-2468 |
NPI Number | 1215999420 |
---|---|
Provider Enumeration Date | 04/04/2006 |
Last Update Date | 10/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215999420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3785 (Oklahoma) | Primary |
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