| John Belk Family Practice Pllc | |
|
1103 W Cherokee St Wagoner OK 74467-4621 | |
| (580) 647-6594 | |
| Not Available |
| Full Name | John Belk Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1103 W Cherokee St, Wagoner, Oklahoma |
| Authorized Official Name and Position | John Belk (MBR) |
| Authorized Official Contact | 5806476594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Belk Family Practice Pllc 1103 W Cherokee St Wagoner OK 74467-4621 Ph: () - | John Belk Family Practice Pllc 1103 W Cherokee St Wagoner OK 74467-4621 Ph: (580) 647-6594 |
| NPI Number | 1134655004 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134655004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30768 (Oklahoma) | Primary |
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