Walkup Family Medicine Clinic LLC

NPI #1508461856 in Idabel, Oklahoma

Provider Information

NPI Number: 1508461856
Entity Type: Organization
Organization Name: Walkup Family Medicine Clinic LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 3, 2020
Last Updated: Jan 10, 2022

Practice Location

Address: 1302 S LYNN LN
City: Idabel
State: Oklahoma
ZIP Code: 74745-6860
Phone: (405) 639-7771

Authorized Official

Name: DR. STORMY WALKUP, DO
Title: OWNER
Phone: (405) 639-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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