Iowa Tribe of Oklahoma

NPI #1104872456 in Perkins, Oklahoma

Provider Information

NPI Number: 1104872456
Entity Type: Organization
Organization Name: Iowa Tribe of Oklahoma
Primary Specialty: Clinic/Center
Enumeration Date: May 26, 2006
Last Updated: Aug 14, 2008

Practice Location

Address: 501 E HIGHWAY 33
City: Perkins
State: Oklahoma
ZIP Code: 74059
Phone: (405) 547-2473

Authorized Official

Name: MR. TOD ROBERTSON
Title: TRIBAL ADMINISTRATOR
Phone: (405) 547-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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