| Skiatook Osteopathic Clinic, Inc | |
|
201 E 2nd St Pob 428 Skiatook OK 74070-1211 | |
| (918) 396-1262 | |
| (918) 396-4598 |
| Full Name | Skiatook Osteopathic Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 E 2nd St, Skiatook, Oklahoma |
| Authorized Official Name and Position | Rudolph Joseph Wolf (PRESIDENT) |
| Authorized Official Contact | 9183961262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skiatook Osteopathic Clinic, Inc 201 E 2nd St Pob 428 Skiatook OK 74070-1211 Ph: (918) 396-1262 | Skiatook Osteopathic Clinic, Inc 201 E 2nd St Pob 428 Skiatook OK 74070-1211 Ph: (918) 396-1262 |
| NPI Number | 1609081538 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609081538 | NPI | - | NPPES |
| 1306856026 | Other | OK | NPI |
| 1568483758 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Sdo Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Skiatook, OK 74070 Phone: 918-396-1262 Fax: 918-396-4598 |