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Chauncey B Witcraft Md Pc
Medical Specialty Clinic/Center in Miami, Oklahoma
NPI 1285852947

Chauncey B Witcraft Md Pc is a Medical Specialty Clinic/Center based in Miami, OK and is specialized in Medical Specialty. Chauncey B Witcraft Md Pc practices in Miami, OK. The NPI Number for Chauncey B Witcraft Md Pc is 1285852947 and holds a License No. 13131 (Oklahoma).

The current practice location address for Chauncey B Witcraft Md Pc is 310 2Nd Ave Sw Ste 105, Miami, OK and can be reached out via phone at 918-542-2812 and via fax at 918-542-2814.

Location: 310 2Nd Ave Sw Ste 105, Miami, OK, 74354-6708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285852947
Provider Name
Chauncey B Witcraft Md Pc
Credential
Provider Entity Type
Organization
Address
310 2Nd Ave Sw Ste 105, Miami, OK, 74354-6708
Phone Number
918-542-2812
Fax Number
918-542-2814
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363287549002 01 OK BLUE CROSS BLUE SHIELD-OK
institution
Provider Business Practice Location Address Details
Address
310 2Nd Ave Sw Ste 105
City
Miami
State
Oklahoma
Zip
74354-6708
Phone Number
918-542-2812
Fax Number
918-542-2814
person
Provider Business Mailing Address Details
Address
310 2Nd Ave Sw Ste 105
City
Miami
State
Oklahoma
Zip
74354-6708
Phone Number
918-542-2812
Fax Number
918-542-2814
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
13131 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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