| Robert C. Dimski, Pllc | |
|
9070 Harmony Dr Suite B Midwest City OK 73130-6256 | |
| (405) 455-3636 | |
| (405) 455-3601 |
| Full Name | Robert C. Dimski, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9070 Harmony Dr, Midwest City, Oklahoma |
| Authorized Official Name and Position | Robert C. Dimski (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4054553636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C. Dimski, Pllc 9070 Harmony Dr Suite B Midwest City OK 73130-6256 Ph: (405) 455-3636 | Robert C. Dimski, Pllc 9070 Harmony Dr Suite B Midwest City OK 73130-6256 Ph: (405) 455-3636 |
| NPI Number | 1366727661 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 2961575659 |
|---|---|
| Medicare Enrollment ID | O20120203000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366727661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert C Dimski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457343881 PECOS PAC ID: 3577508902 Enrollment ID: I20100617000781 |
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