Choctaw Womens Clinic Pllc

NPI 1194134726 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1194134726
Enumeration Date 08/07/2014
Last Updated 08/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SARA MARIE SARA
Position OWNER
Phone (405) 620-0049
Fax (405) 234-9476
Practice Location
14890 SE 29TH ST
SUITE 106
CHOCTAW OK, 73020-3515, US
Phone (405) 620-0049
Fax (405) 234-9476
Business Location
14890 SE 29TH STREET
SUITE 106
CHOCTAW OK, 73020, US
Phone (405) 620-0049
Fax (405) 234-9476
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
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According to our database, Choctaw Womens Clinic Pllc NPI is 1194134726, taxonomy code is 363LF0000X Choctaw Womens Clinic Pllc physically located at 14890 Se 29th St, Choctaw OK, 73020-3515. NPI Number 1033115704 has the healthcare provider type.

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1194134726 NPI number is provided on an as is basis without warranty of any kind. 1194134726 is maintained by the National Plan & Provider Enumeration System. The contents of Choctaw Womens Clinic Pllc are for informational purposes only.