institution
Southeastern Pediatrics, Pllc
Pediatric Nurse Practitioner in Durant, Oklahoma
NPI 1477210516

Southeastern Pediatrics, Pllc is a Pediatric Nurse Practitioner based in Durant, OK and is specialized in Pediatrics. Southeastern Pediatrics, Pllc practices in Durant, OK. The NPI Number for Southeastern Pediatrics, Pllc is 1477210516 and holds a License No. (Oklahoma).

The current practice location address for Southeastern Pediatrics, Pllc is 1705 N Washington Ave Ste C, Durant, OK and can be reached out via phone at 580-924-5439.

Location: 1705 N Washington Ave Ste C, Durant, OK, 74701-2100
institution
Provider Profile Details
NPI Number
1477210516
Provider Name
Southeastern Pediatrics, Pllc
Credential
Provider Entity Type
Organization
Address
1705 N Washington Ave Ste C, Durant, OK, 74701-2100
Phone Number
580-924-5439
Fax Number
Provider Enumeration Date
11/23/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1705 N Washington Ave Ste C
City
State
Zip
74701-2100
Phone Number
580-924-5439
Fax Number
person
Provider Business Mailing Address Details
Address
1705 N Washington Ave Ste C
City
State
Zip
74701-2100
Phone Number
580-924-5439
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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