Clinic at Wellston

NPI #1528589546 in Wellston, Oklahoma

Provider Information

NPI Number: 1528589546
Entity Type: Organization
Organization Name: Clinic at Wellston
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 309 WEST 2ND STREET
Address 2: SUITE B
City: Wellston
State: Oklahoma
ZIP Code: 74881
Phone: (405) 356-3035

Authorized Official

Name: MS. SISNE LIBRE' GROFF
Title: OWNER/OPERATOR
Phone: (918) 906-9643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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