Midway Medical Clinic
NPI #1144307554 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1144307554
- Entity Type
- Organization
- Organization Name
- Midway Medical Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 5, 2012
Practice Location
- Address
- 351 N AIR DEPOT BLVD
- Address 2
- SUITE BB
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-1700
- Phone
- (405) 610-3600
Authorized Official
- Name
- MCKINLEY BOATNER, PA
- Title
- CEO
- Phone
- (405) 610-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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