Caney Valley Medical Foundation | |
400 Wyandotte Ramona OK 74061 | |
(918) 536-1024 | |
(918) 536-2203 |
Full Name | Caney Valley Medical Foundation |
---|---|
Speciality | Family Medicine |
Location | 400 Wyandotte, Ramona, Oklahoma |
Authorized Official Name and Position | John Hibdon (ADMINISTRATOR) |
Authorized Official Contact | 9185361024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Caney Valley Medical Foundation 400 Wyandotte Ramona OK 74061 Ph: (918) 536-1024 | Caney Valley Medical Foundation 400 Wyandotte Ramona OK 74061 Ph: (918) 536-1024 |
NPI Number | 1356406292 |
---|---|
Provider Enumeration Date | 12/22/2006 |
Last Update Date | 12/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356406292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dr. John C. Leatherman Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Wyandotte Pl, Ramona, OK 74061 Phone: 918-536-1024 Fax: 918-536-4003 |