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NPI Code Detail

MEDICARE: MINOR EMERGENCY CLINIC

MEDICARE: MINOR EMERGENCY 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
1175L00000XHomeopath

General Provider Information

NPI Number : 1760485767
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINOR EMERGENCY CLINIC
Provider Business Mailing Address
First Line : 402 S OAKWOOD RD
Second Line : STE B
City : ENID
State : OK
Zip : 73703-4945
Country : US
Telephone Number : 580-234-1831
Fax Number : 580-234-1834
Provider Business Practice Location Address
First Line : 402 S OAKWOOD RD
Second Line : STE B
City : ENID
State : OK
Zip : 73703-4945
Country : US
Telephone Number : 580-234-1831
Fax Number : 580-234-1834
Authorized Official
Title or Position : PARTNER
Name : DR. GARY PATZKOWSKY
Credential : D.O.
Telephone Number : 580-234-1831
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2020

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Directions to “MINOR EMERGENCY CLINIC ” Practice Location

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