Affinity Health LLC
Family Medicine in Poteau, OK. Organization (NPI-2).
NPI number1790283752
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1790283752
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Health LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2018
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3982 | OK | Yes |
| 261QP3300X | Clinic/Center, Pain | 3982 | OK | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – |
Practice location
301 N Broadway StPoteau, OK 74953-3355
Phone 918-208-7497 · Fax 918-208-7687
Mailing address
301 N Broadway StPoteau, OK 74953-3355
Phone 918-208-7497 · Fax 918-208-7687
Authorized official
Ryan Pitts
Medical Director
9182087497
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