Pawnee Health & Wellness Clinic LLC

NPI #1174892590 in Pawnee, Oklahoma

Provider Information

NPI Number: 1174892590
Entity Type: Organization
Organization Name: Pawnee Health & Wellness Clinic LLC
Primary Specialty: General Practice
Enumeration Date: Dec 14, 2011
Last Updated: Apr 5, 2012

Practice Location

Address: 304 BOULDER ST
City: Pawnee
State: Oklahoma
ZIP Code: 74058-4028
Phone: (918) 762-3601

Authorized Official

Name: DR. GORDON PAGE LAIRD, D.O.
Title: OWNER
Phone: (918) 762-3601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
General Practice	208D00000X	Primary

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