Choctaw Wellness Enterprises, LLC

NPI #1346441896 in Choctaw, Oklahoma

Provider Information

NPI Number: 1346441896
Entity Type: Organization
Organization Name: Choctaw Wellness Enterprises, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 31, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 15803 NE 23RD ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-8428
Phone: (405) 390-9600

Authorized Official

Name: LORRIE A. CARPENTER
Title: OWNER
Phone: (405) 390-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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