Choctaw Womens Clinic Pllc

NPI #1194134726 in Choctaw, Oklahoma

Provider Information

NPI Number
1194134726
Entity Type
Organization
Organization Name
Choctaw Womens Clinic Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 7, 2014
Last Updated
Aug 7, 2014

Practice Location

Address
14890 SE 29TH ST
Address 2
SUITE 106
ZIP Code
73020-3515
Phone
(405) 620-0049

Authorized Official

Name
SARA MARIE BOTCHLET
Title
OWNER
Phone
(405) 620-0049

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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