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Idabel Children's Clinic, Inc.
Primary Care Clinic/Center in Idabel, Oklahoma
NPI 1689985343

Idabel Children's Clinic, Inc. is a Primary Care Clinic/Center based in Idabel, OK and is specialized in Primary Care. Idabel Children's Clinic, Inc. practices in Idabel, OK. The NPI Number for Idabel Children's Clinic, Inc. is 1689985343 and holds a License No. 22507 (Oklahoma).

The current practice location address for Idabel Children's Clinic, Inc. is 1307 Lynn Ln, Idabel, OK and can be reached out via phone at 580-286-5437 and via fax at 580-286-3955.

Location: 1307 Lynn Ln, Idabel, OK, 74745-6845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689985343
Provider Name
Idabel Children's Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
1307 Lynn Ln, Idabel, OK, 74745-6845
Phone Number
580-286-5437
Fax Number
580-286-3955
Provider Enumeration Date
06/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100187600B 05 OK
institution
Provider Business Practice Location Address Details
Address
1307 Lynn Ln
City
Idabel
State
Oklahoma
Zip
74745-6845
Phone Number
580-286-5437
Fax Number
580-286-3955
person
Provider Business Mailing Address Details
Address
1307 Lynn Ln
City
Idabel
State
Oklahoma
Zip
74745-6845
Phone Number
580-286-5437
Fax Number
580-286-3955
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
22507 (Oklahoma)
Definition
Definition to come...
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