Abc Medical Clinic, INC PLLC
Family Medicine in Atoka, OK. Organization (NPI-2).
NPI number1992995666
StatusActive
Last updated in NPPESMay 9, 2013
Details
- NPI
- 1992995666
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Medical Clinic, INC PLLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2007
- Last updated
- May 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2096 | OK | Yes |
Practice location
1510 S Virginia AveAtoka, OK 74525-3246
Phone 580-889-3355 · Fax 580-927-9941
Mailing address
Po Box 568Atoka, OK 74525-0568
Phone 580-889-3355 · Fax 580-889-5272
Authorized official
Linda L Heinze
Office Manager
5808893355
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