Triton Health Pllc

NPI 1275945974 - Clinic/Center - 261QP2300X

NPI Details
NPI 1275945974
Enumeration Date 05/29/2014
Last Updated 05/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CARY PATRICK CARY
Position OWNER
Phone (918) 773-5228
Fax (918) 773-8482
Practice Location
128 W. MAIN STREET
VIAN OK, 74962, US
Phone (918) 773-5228
Fax (918) 773-8482
Business Location
PO BOX 446
128 W. MAIN STREET
VIAN OK, 74962-0446, US
Phone (918) 773-5228
Fax (918) 773-8482
Toxanomy
Taxonomy Code 261QP2300X
License State Oklahoma
License Number 2148
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According to our database, Triton Health Pllc NPI is 1275945974, taxonomy code is 261QP2300X and license number is 2148, license state is located at Oklahoma. Triton Health Pllc physically located at 128 W. Main Street, Vian OK, 74962. NPI Number 1033115704 has the healthcare provider type.

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1275945974 NPI number is provided on an as is basis without warranty of any kind. 1275945974 is maintained by the National Plan & Provider Enumeration System. The contents of Triton Health Pllc are for informational purposes only.