| Mark Winchester, M.d. | |
|
1019 N Council Ave Blanchard OK 73010-8003 | |
| (405) 485-8100 | |
| (405) 485-8104 |
| Full Name | Mark Winchester, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1019 N Council Ave, Blanchard, Oklahoma |
| Authorized Official Name and Position | Mark D Winchester (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4054858100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Winchester, M.d. Po Box 1789 Blanchard OK 73010-1789 Ph: (405) 485-8100 | Mark Winchester, M.d. 1019 N Council Ave Blanchard OK 73010-8003 Ph: (405) 485-8100 |
| NPI Number | 1518110261 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518110261 | NPI | - | NPPES |
| 100186300A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17303 (Oklahoma) | Primary |
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