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401 Medical Center Pllc
Primary Care Clinic/Center in Tahlequah, Oklahoma
NPI 1063296937

401 Medical Center Pllc is a Primary Care Clinic/Center based in Tahlequah, OK and is specialized in Primary Care. 401 Medical Center Pllc practices in Tahlequah, OK. The NPI Number for 401 Medical Center Pllc is 1063296937 and holds a License No. (Oklahoma).

The current practice location address for 401 Medical Center Pllc is 401 E Downing St, Tahlequah, OK and can be reached out via phone at 918-316-3764 and via fax at 918-398-8982.

Location: 401 E Downing St, Tahlequah, OK, 74464-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063296937
Provider Name
401 Medical Center Pllc
Credential
Provider Entity Type
Organization
Address
401 E Downing St, Tahlequah, OK, 74464-3015
Phone Number
918-316-3764
Fax Number
918-398-8982
Provider Enumeration Date
08/22/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013603232 01 OK NPI
201173250A 05 OK
institution
Provider Business Practice Location Address Details
Address
401 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3015
Phone Number
918-316-3764
Fax Number
918-398-8982
person
Provider Business Mailing Address Details
Address
401 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3015
Phone Number
918-316-3764
Fax Number
918-398-8982
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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