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Wewoka Regional Medical Center

Family Medicine in Wewoka, OK. Organization (NPI-2).

NPI number1245303510
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1245303510
Entity type
Organization (NPI-2)
Legal business name
Wewoka Regional Medical Center
Organization subpart
No
Enumeration date
Nov 16, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1402 S Indian Rd
Wewoka, OK 74884-9780

Phone 405-257-9055 · Fax 405-257-9951

Mailing address

1402 S Indian Rd
Wewoka, OK 74884-9780

Phone 405-257-9055 · Fax 405-257-9951

Authorized official

Anthony Louis Lenz
Physician
4052579055

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