Wellston Family Medical Clinic, Pllc

NPI 1023348059 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023348059
Enumeration Date 01/14/2010
Last Updated 01/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SHERRY DIANN SHERRY
Position ARNP
Phone (405) 356-2998
Fax (405) 258-0498
Practice Location
309 W. 2ND ST.
WELLSTON OK, 74881, US
Phone (405) 356-2998
Fax (405) 258-0498
Business Location
PO BOX 98
WELLSTON OK, 74881-0098, US
Phone (405) 356-2998
Fax (405) 258-0498
Toxanomy
Taxonomy Code 261QP2300X
License State Oklahoma
License Number R0080778
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According to our database, Wellston Family Medical Clinic, Pllc NPI is 1023348059, taxonomy code is 261QP2300X and license number is R0080778, license state is located at Oklahoma. Wellston Family Medical Clinic, Pllc physically located at 309 W. 2nd St., Wellston OK, 74881. NPI Number 1033115704 has the healthcare provider type.

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1023348059 NPI number is provided on an as is basis without warranty of any kind. 1023348059 is maintained by the National Plan & Provider Enumeration System. The contents of Wellston Family Medical Clinic, Pllc are for informational purposes only.