institution
Tahlequah Family Medicine Clinic
Primary Care Clinic/Center in Tahlequah, Oklahoma
NPI 1144633041

Tahlequah Family Medicine Clinic is a Primary Care Clinic/Center based in Tahlequah, OK and is specialized in Primary Care. Tahlequah Family Medicine Clinic practices in Tahlequah, OK. The NPI Number for Tahlequah Family Medicine Clinic is 1144633041 and holds a License No. 14708 (Oklahoma).

The current practice location address for Tahlequah Family Medicine Clinic is 204 Woodlawn Ave, Tahlequah, OK and can be reached out via phone at 918-456-8000.

Location: 204 Woodlawn Ave, Tahlequah, OK, 74464-4173
institution
Provider Profile Details
NPI Number
1144633041
Provider Name
Tahlequah Family Medicine Clinic
Credential
Provider Entity Type
Organization
Address
204 Woodlawn Ave, Tahlequah, OK, 74464-4173
Phone Number
918-456-8000
Fax Number
Provider Enumeration Date
06/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100124340B 01 OK SOONERCARE
institution
Provider Business Practice Location Address Details
Address
204 Woodlawn Ave
City
State
Zip
74464-3318
Phone Number
918-456-8000
Fax Number
person
Provider Business Mailing Address Details
Address
204 Woodlawn Ave
City
State
Zip
74464-3318
Phone Number
918-456-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
14708 (Oklahoma)
Definition
Definition to come...
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