| Hoffman's Aprn-cnp Medical Clinic | |
|
102 Smith Ave Poteau OK 74953-2615 | |
| (918) 653-2918 | |
| (918) 653-3211 |
| Full Name | Hoffman's Aprn-cnp Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 102 Smith Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Debra Tiffee (CREDENTIALER) |
| Authorized Official Contact | 9186353566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoffman's Aprn-cnp Medical Clinic 29035 205th Ave Poteau OK 74953-7157 Ph: (918) 653-2918 | Hoffman's Aprn-cnp Medical Clinic 102 Smith Ave Poteau OK 74953-2615 Ph: (918) 653-2918 |
| NPI Number | 1558884775 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558884775 | NPI | - | NPPES |
| 200474150 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 28587 (Oklahoma) | Primary |
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