Eastside Clinic

NPI 1023295193 - Family Medicine - 207Q00000X

NPI Details
NPI 1023295193
Enumeration Date 01/30/2008
Last Updated 07/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JAMES MARK JAMES
Position OWNER/DOCTOR
Phone (918) 456-6250
Fax (918) 456-4080
Practice Location
22408 HIGHWAY 51
TAHLEQUAH OK, 74464-2058, US
Phone (918) 456-6250
Fax (918) 456-4080
Business Location
PO BOX 59
TAHLEQUAH OK, 74465-0059, US
Phone (918) 456-6250
Fax (918) 456-4080
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 15674
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According to our database, Eastside Clinic NPI is 1023295193, taxonomy code is 207Q00000X and license number is 15674, license state is located at Oklahoma. Eastside Clinic physically located at 22408 Highway 51, Tahlequah OK, 74464-2058. NPI Number 1033115704 has the healthcare provider type.

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1023295193 NPI number is provided on an as is basis without warranty of any kind. 1023295193 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Clinic are for informational purposes only.