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NPI Code Detail

MEDICARE: A PLUS MINOR EMERGENCY WALK IN CLINIC

MEDICARE: A PLUS MINOR EMERGENCY WALK IN CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/CenterOK3838OK

General Provider Information

NPI Number : 1740615426
Entity Type Code : Organization
Provider Name (Legal Business Name) : A PLUS MINOR EMERGENCY WALK IN CLINIC
Provider Business Mailing Address
First Line : 916 N MAIN
Second Line :
City : ALTUS
State : OK
Zip : 73521-3118
Country : US
Telephone Number : 580-480-0033
Fax Number : 580-480-0044
Provider Business Practice Location Address
First Line : 916 N MAIN ST
Second Line :
City : ALTUS
State : OK
Zip : 73521-3118
Country : US
Telephone Number : 580-480-0033
Fax Number : 580-480-0044
Authorized Official
Title or Position : OWNER/MANAGER
Name : DR. ANTHONY QUINN NEAL
Credential :
Telephone Number : 580-318-0307
Provider Enumeration Date : 09/12/2013
Last Update Date : 12/26/2014

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Directions to “A PLUS MINOR EMERGENCY WALK IN CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.