Tishomingo Doctor's Medical Clinic, PC
NPI #1508096447 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1508096447
- Entity Type
- Organization
- Organization Name
- Tishomingo Doctor's Medical Clinic, PC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 24, 2009
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 508 E 24TH ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-3214
- Phone
- (580) 371-9117
Authorized Official
- Name
- VIRGINIA RAGAN
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (580) 371-9117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Rural Health — Rural Health |
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