| Eastern Oklahoma Medical Clinic Inc | |
|
8315 E 111th St S Ste D Bixby OK 74008-2466 | |
| (918) 392-2468 | |
| (918) 392-2469 |
| Full Name | Eastern Oklahoma Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8315 E 111th St S Ste D, Bixby, Oklahoma |
| Authorized Official Name and Position | Corey Shawn Schoenewe (PRESIDENT) |
| Authorized Official Contact | 9183922468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Oklahoma Medical Clinic Inc 8315 E 111th St S Ste D Bixby OK 74008-2466 Ph: (918) 392-2468 | Eastern Oklahoma Medical Clinic Inc 8315 E 111th St S Ste D Bixby OK 74008-2466 Ph: (918) 392-2468 |
| NPI Number | 1215999420 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215999420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3785 (Oklahoma) | Primary |
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