Citizen Potawatomi Nation West Clinic

NPI #1598053993 in Shawnee, Oklahoma

Provider Information

NPI Number
1598053993
Entity Type
Organization
Organization Name
Citizen Potawatomi Nation West Clinic
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Jul 19, 2011
Last Updated
Nov 16, 2012

Practice Location

Address
781 GRAND CASINO BLVD
ZIP Code
74804-1005
Phone
(405) 964-5770

Authorized Official

Name
DR. DOYLE FORTNEY
Title
WEST CLINIC MANAGER
Phone
(405) 964-5770

Specialties & Taxonomy Codes

Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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