Woodward Clinic Company, LLC

NPI #1912184755 in Woodward, Oklahoma

Provider Information

NPI Number: 1912184755
Entity Type: Organization
Organization Name: Woodward Clinic Company, LLC
Primary Specialty: Surgery
Enumeration Date: Jan 23, 2008
Last Updated: Oct 1, 2021

Practice Location

Address: 1650 MAIN ST
City: Woodward
State: Oklahoma
ZIP Code: 73801-3046
Phone: (580) 254-8612

Authorized Official

Name: JENNIFER L JACKSON
Title: SR. DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X
Surgery	208600000X	Primary

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