| Vic Fey Md Inc A Professional Corporation | |
|
90 N 30th St #1 Clinton OK 73601-3101 | |
| (580) 323-5433 | |
| (580) 323-3833 |
| Full Name | Vic Fey Md Inc A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 90 N 30th St, Clinton, Oklahoma |
| Authorized Official Name and Position | Vic L. Fey (PRESIDENT) |
| Authorized Official Contact | 5803235433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vic Fey Md Inc A Professional Corporation 90 N 30th St #1 Clinton OK 73601-3101 Ph: (580) 323-5433 | Vic Fey Md Inc A Professional Corporation 90 N 30th St #1 Clinton OK 73601-3101 Ph: (580) 323-5433 |
| NPI Number | 1932237633 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 4688774573 |
|---|---|
| Medicare Enrollment ID | O20070706000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932237633 | NPI | - | NPPES |
| 100107020B | Medicaid | OK | |
| 100107020C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207Q00000X (Oklahoma) | Primary |
| Provider Name | Victor Ludwig Fey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280987 PECOS PAC ID: 7618077504 Enrollment ID: I20070706000200 |
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