Idabel Children's Clinic, Inc.

NPI #1689985343 in Idabel, Oklahoma

Provider Information

NPI Number
1689985343
Entity Type
Organization
Organization Name
Idabel Children's Clinic, Inc.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 28, 2010
Last Updated
Jul 28, 2010

Practice Location

Address
1307 LYNN LN
City
Idabel
ZIP Code
74745-6845
Phone
(580) 286-5437

Authorized Official

Name
DR. ROBERT DELLINO LEBOEUF, PH.D.
Title
OFFICE MANAGER
Phone
(580) 212-2697

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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