Organization · NPI-2

Abc Medical Clinic INC

Family Medicine · Atoka, OK

NPI number1124288022
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1124288022
Entity type
Organization (NPI-2)
Legal business name
Abc Medical Clinic INC
Organization subpart
No
Enumeration date
Jun 13, 2008
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2096OKYes

Practice location

1508 S Virginia Ave
Atoka, OK 74525-3246

Phone 580-889-3355 · Fax 580-889-5272

Mailing address

Po Box 568
Atoka, OK 74525-0568

Phone 580-889-3355 · Fax 580-889-5272

Authorized official

Richard J Helton
Owner
5808893355

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