Organization · Type 2 NPI

Wellston Family Medical Clinic, PLLC

Primary Care Clinic/Center · Wellston, OK

NPI number 1023348059 Active

Practice location

309 W. 2nd St.
Wellston, OK 74881

Fax (405) 258-0498

Mailing address

PO Box 98
Wellston, OK 74881-0098

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XR0080778 (OK)

Primary Care Clinic/Center: Definition to come...

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About NPI 1023348059

Wellston Family Medical Clinic, PLLC's National Provider Identifier is 1023348059, issued on Jan 14, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wellston, OK. The record was last updated on Jan 27, 2010.