institution
Integris Rural Health Inc
Vascular Surgery Physician in Enid, Oklahoma
NPI 1174509699

Integris Rural Health Inc is a Vascular Surgery Physician based in Oklahoma City, OK and is specialized in Vascular Surgery. Integris Rural Health Inc practices in Enid, OK. The NPI Number for Integris Rural Health Inc is 1174509699 and holds a License No. (Oklahoma).

The current practice location address for Integris Rural Health Inc is 707 S Monroe St, Enid, OK and can be reached out via phone at 580-616-7634 and via fax at 580-237-7516. You can also correspond with Integris Rural Health Inc through the mailing address at PO BOX 960097, OKLAHOMA CITY, OK - 73196-0097 (mailing address contact number: 580-548-1367).

Location: 707 S Monroe St, Enid, OK, 73196-0097
institution
Provider Profile Details
NPI Number
1174509699
Provider Name
Integris Rural Health Inc
Credential
Provider Entity Type
Organization
Address
707 S Monroe St, Enid, OK, 73196-0097
Phone Number
580-616-7634
Fax Number
580-237-7516
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200058050A 05 OK
200308850B 05 KS
200069200M 01 OK OK MEDICAID OSUFFS
institution
Provider Business Practice Location Address Details
Address
707 S Monroe St
City
State
Zip
73701-7286
Phone Number
580-616-7634
Fax Number
580-237-7516
person
Provider Business Mailing Address Details
Address
Po Box 960097
City
State
Zip
73196-0097
Phone Number
580-548-1367
Fax Number
580-548-1583
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
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Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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