Unknown Individual – Family Medicine Physician, NPI 1376605105
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
RR 1 BOX 3060
CLINTON, OK 736019303
Phone: (580) 323-2884
Fax: (580) 323-2579
Type: Location
1000, North Bowman Avenue, Elk City, Beckham County, Oklahoma, 73644, United States
ELK CITY, OK 736442219
Phone: (580) 323-2884
Fax: (580) 323-2579
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73601)
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