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Bennett Clinic, Pc
Health Service Clinic/Center in Beaver, Oklahoma
NPI 1770886426

Bennett Clinic, Pc is a Health Service Clinic/Center based in Beaver, OK and is specialized in Health Service. Bennett Clinic, Pc practices in Beaver, OK. The NPI Number for Bennett Clinic, Pc is 1770886426 and holds a License No. R0071654 (Oklahoma).

The current practice location address for Bennett Clinic, Pc is 623 Avenue C, Beaver, OK and can be reached out via phone at 580-625-2273 and via fax at 580-625-2274.

Location: 623 Avenue C, Beaver, OK, 73932-0964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770886426
Provider Name
Bennett Clinic, Pc
Credential
Provider Entity Type
Organization
Address
623 Avenue C, Beaver, OK, 73932-0964
Phone Number
580-625-2273
Fax Number
580-625-2274
Provider Enumeration Date
12/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200317900A 05 OK
institution
Provider Business Practice Location Address Details
Address
623 Avenue C
City
Beaver
State
Oklahoma
Zip
73932-3126
Phone Number
580-625-2273
Fax Number
580-625-2274
person
Provider Business Mailing Address Details
Address
623 Avenue C
City
Beaver
State
Oklahoma
Zip
73932-3126
Phone Number
580-625-2273
Fax Number
580-625-2274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
R0071654 (Oklahoma)
Definition
Definition to come...
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