Medicine Wheel INC

NPI #1477899532 in Caddo, Oklahoma

Provider Information

NPI Number: 1477899532
Entity Type: Organization
Organization Name: Medicine Wheel INC
Primary Specialty: General Practice
Enumeration Date: Dec 18, 2012
Last Updated: May 20, 2014

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	207P00000X
General Practice	208D00000X	Primary

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