Organization · NPI-2

Abc Medical Clinic, INC

Family Medicine · Atoka, OK

NPI number1891094744
StatusActive
Last updated in NPPESAug 23, 2011

Details

NPI
1891094744
Entity type
Organization (NPI-2)
Legal business name
Abc Medical Clinic, INC
Organization subpart
No
Enumeration date
Mar 17, 2011
Last updated
Aug 23, 2011

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/Admin
5808893355

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