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NPI Code Detail

MEDICARE: PAYNE & RICE CLINIC, INC.

MEDICARE: PAYNE & RICE CLINIC, INC.
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1962576710
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAYNE & RICE CLINIC, INC.
Provider Business Mailing Address
First Line : 116 SW 2ND ST
Second Line :
City : CHECOTAH
State : OK
Zip : 74426-3602
Country : US
Telephone Number : 918-473-2278
Fax Number : 918-473-5999
Provider Business Practice Location Address
First Line : 116 SW 2ND ST
Second Line :
City : CHECOTAH
State : OK
Zip : 74426-3602
Country : US
Telephone Number : 918-473-2278
Fax Number : 918-473-5999
Authorized Official
Title or Position : PRESIDENT
Name : JOHN F RICE
Credential : DO
Telephone Number : 918-473-2278
Provider Enumeration Date : 11/20/2006
Last Update Date : 10/19/2009

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Directions to “PAYNE & RICE CLINIC, INC. ” Practice Location

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