Shawnee Medical Center Clinic, Inc.

NPI #1386016962 in Meeker, Oklahoma

Provider Information

NPI Number: 1386016962
Entity Type: Organization
Organization Name: Shawnee Medical Center Clinic, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Oct 22, 2015
Last Updated: Oct 22, 2015

Practice Location

Address: 102 W. CARL HUBBELL BLVD.
City: Meeker
State: Oklahoma
ZIP Code: 74855
Phone: (405) 279-4281

Authorized Official

Name: BARBARA D. ADAMS
Title: ACCOUNTANT/CREDENTIALING
Phone: (405) 395-3931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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