Eastern Oklahoma Medical Clinic INC

NPI #1215999420 in Bixby, Oklahoma

Provider Information

NPI Number: 1215999420
Entity Type: Organization
Organization Name: Eastern Oklahoma Medical Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 4, 2006
Last Updated: Oct 26, 2007

Practice Location

Address: 8315 E 111TH ST S STE D
City: Bixby
State: Oklahoma
ZIP Code: 74008-2466
Phone: (918) 392-2468

Authorized Official

Name: DR. COREY SHAWN SCHOENEWE, DO
Title: PRESIDENT
Phone: (918) 392-2468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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