| Perry Wellness Center Pllc | |
|
501 N 14th St Attn: J. Ek Perry OK 73077-5021 | |
| (580) 336-3735 | |
| (580) 336-3738 |
| Full Name | Perry Wellness Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 501 N 14th St, Perry, Oklahoma |
| Authorized Official Name and Position | Jonthan Radkoff Ek (OWNERPHYSICIAN) |
| Authorized Official Contact | 5803363735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Wellness Center Pllc 501 N 14th St Attn: J. Ek Perry OK 73077-5021 Ph: (580) 336-3735 | Perry Wellness Center Pllc 501 N 14th St Attn: J. Ek Perry OK 73077-5021 Ph: (580) 336-3735 |
| NPI Number | 1750482741 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750482741 | NPI | - | NPPES |
| 32819 | Other | OK | BNDD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23862 (Oklahoma) | Primary |
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