Dagenais & Associates Medical Clinic, LLC

NPI #1043618572 in Pawhuska, Oklahoma

Provider Information

NPI Number
1043618572
Entity Type
Organization
Organization Name
Dagenais & Associates Medical Clinic, LLC
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Dec 16, 2014
Last Updated
Mar 23, 2020

Practice Location

Address
137 EAST MAIN
ZIP Code
74056
Phone
(918) 217-8696

Authorized Official

Name
MRS. MARY JANE DAGENAIS, PA
Title
OWNER
Phone
(918) 217-8696

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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