| Aetherius Medical LLC | |
|
408 N Main St Noble OK 73068-9574 | |
| (405) 339-5261 | |
| Not Available |
| Full Name | Aetherius Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 408 N Main St, Noble, Oklahoma |
| Authorized Official Name and Position | Krysten Mescan (OWNER - FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4053001476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aetherius Medical LLC 408 N Main St Noble OK 73068-9574 Ph: (405) 300-1476 | Aetherius Medical LLC 408 N Main St Noble OK 73068-9574 Ph: (405) 339-5261 |
| NPI Number | 1851103063 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851103063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Noble Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S. Main, Noble, OK 73068 Phone: 405-872-5403 Fax: 405-872-5407 |
Noble Family Medicine LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 N Main St, Noble, OK 73068 Phone: 405-677-3378 |
Noble Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Maguire Rd, Ste 4000, Noble, OK 73068 Phone: 405-872-9494 Fax: 405-872-9464 |