Iowa Tribe of Oklahoma

NPI #1891943106 in Perkins, Oklahoma

Provider Information

NPI Number: 1891943106
Entity Type: Organization
Organization Name: Iowa Tribe of Oklahoma
Primary Specialty: Clinic/Center
Enumeration Date: Aug 29, 2008
Last Updated: Sep 18, 2019

Practice Location

Address: 509 E HIGHWAY 33
City: Perkins
State: Oklahoma
ZIP Code: 74059-4129
Phone: (405) 547-2473

Authorized Official

Name: ANGELA DAWN DAUGHERTY, MHR, MSN, APRN, NP-C
Title: HEALTH DIRECTOR
Phone: (405) 547-2473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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