Medicine Wheel INC

NPI #1285978007 in Caddo, Oklahoma

Provider Information

NPI Number: 1285978007
Entity Type: Organization
Organization Name: Medicine Wheel INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 16, 2012
Last Updated: Nov 16, 2012

Practice Location

Address: 128 BUFFALO STREET
City: Caddo
State: Oklahoma
ZIP Code: 74729
Phone: (580) 367-2100

Authorized Official

Name: PAUL E WEATHERS, DO
Title: MEDICAL DIRECTOR
Phone: (580) 367-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Family Medicine	207Q00000X	Primary

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