| Dubois Medical Clinic Pc | |
|
1117 S Douglas Blvd Ste D Midwest City OK 73130-5262 | |
| (405) 741-8686 | |
| (405) 733-9621 |
| Full Name | Dubois Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1117 S Douglas Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Peggy Culver Dubois (OWNER) |
| Authorized Official Contact | 4057418686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubois Medical Clinic Pc 1117 S Douglas Blvd Ste D Midwest City OK 73130-5262 Ph: (405) 741-8686 | Dubois Medical Clinic Pc 1117 S Douglas Blvd Ste D Midwest City OK 73130-5262 Ph: (405) 741-8686 |
| NPI Number | 1104819762 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104819762 | NPI | - | NPPES |
| 100746130A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (Oklahoma) | Secondary |
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