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Eastside Clinic
Family Medicine Physician in Tahlequah, Oklahoma
NPI 1023295193

Eastside Clinic is a Family Medicine Physician based in Tahlequah, OK. Eastside Clinic practices in Tahlequah, OK. The NPI Number for Eastside Clinic is 1023295193 and holds a License No. 15674 (Oklahoma).

The current practice location address for Eastside Clinic is 22408 Highway 51, Tahlequah, OK and can be reached out via phone at 918-456-6250 and via fax at 918-456-4080.

Location: 22408 Highway 51, Tahlequah, OK, 74465-0059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023295193
Provider Name
Eastside Clinic
Credential
Provider Entity Type
Organization
Address
22408 Highway 51, Tahlequah, OK, 74465-0059
Phone Number
918-456-6250
Fax Number
918-456-4080
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4111208 01 OK AETNA
C95468 01 OK UPIN
110118510A 05 OK
445569081002 01 OK BLUECROSS AND BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
22408 Highway 51
City
Tahlequah
State
Oklahoma
Zip
74464-2058
Phone Number
918-456-6250
Fax Number
918-456-4080
person
Provider Business Mailing Address Details
Address
22408 Highway 51
City
Tahlequah
State
Oklahoma
Zip
74464-2058
Phone Number
918-456-6250
Fax Number
918-456-4080
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
15674 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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