institution
Next Generation Family Medical Clinic, Llc
General Practice Physician in Wagoner, Oklahoma
NPI 1548646052

Next Generation Family Medical Clinic, Llc is a General Practice Physician based in Wagoner, OK. Next Generation Family Medical Clinic, Llc practices in Wagoner, OK. The NPI Number for Next Generation Family Medical Clinic, Llc is 1548646052 and holds a License No. 4383 (Oklahoma).

The current practice location address for Next Generation Family Medical Clinic, Llc is 1102 W Cherokee St Ste A, Wagoner, OK and can be reached out via phone at 918-201-4502 and via fax at 918-201-4503.

Location: 1102 W Cherokee St Ste A, Wagoner, OK, 74467-4600
institution
Provider Profile Details
NPI Number
1548646052
Provider Name
Next Generation Family Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1102 W Cherokee St Ste A, Wagoner, OK, 74467-4600
Phone Number
918-201-4502
Fax Number
918-201-4503
Provider Enumeration Date
08/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275754780 05 OK
institution
Provider Business Practice Location Address Details
Address
1102 W Cherokee St Ste A
City
State
Zip
74467-4600
Phone Number
918-201-4502
Fax Number
918-201-4503
person
Provider Business Mailing Address Details
Address
1102 W Cherokee St Ste A
City
State
Zip
74467-4600
Phone Number
918-201-4502
Fax Number
918-201-4503
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4383 (Oklahoma)
Definition
Definition to come...
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