Stateline Medical LLC
NPI #1114421260 in Pocola, Oklahoma
Provider Information
- NPI Number
- 1114421260
- Entity Type
- Organization
- Organization Name
- Stateline Medical LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 22, 2018
- Last Updated
- Mar 22, 2018
Practice Location
Authorized Official
- Name
- SHANE WALKER, D.C.
- Title
- OWNER
- Phone
- (479) 561-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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