Eastside Clinic

NPI #1023295193 in Tahlequah, Oklahoma

Provider Information

NPI Number
1023295193
Entity Type
Organization
Organization Name
Eastside Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
EASTSIDE CLINIC
Primary Specialty
Family Medicine
Enumeration Date
Jan 30, 2008
Last Updated
Jul 28, 2008

Practice Location

Address
22408 HIGHWAY 51
ZIP Code
74464-2058
Phone
(918) 456-6250

Authorized Official

Name
DR. JAMES MARK SERATT, M.D.
Title
OWNER/DOCTOR
Phone
(918) 456-6250

Specialties & Taxonomy Codes

Specialty
Family Medicine

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