Healthcare Stat

NPI #1609029644 in Chickasha, Oklahoma

Provider Information

NPI Number
1609029644
Entity Type
Organization
Organization Name
Healthcare Stat
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 3, 2008
Last Updated
Dec 13, 2023

Practice Location

Address
1619 S 4TH ST
ZIP Code
73018-5860
Phone
(405) 224-6700

Authorized Official

Name
SHAWN P BONILLA, ARNP
Title
OWNER
Phone
(405) 485-9588

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care
Clinic/Center - Primary CarePrimary Care

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