Organization · Type 2 NPI
Monduta Healthcare Services LLC
Primary Care Clinic/Center · Wagoner, OK
NPI number
1023804424
Active
Practice location
1202 W Cherokee St Ste C
Wagoner, OK 74467-4629
Mailing address
1000 W Elmira St
Broken Arrow, OK 74012-0872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rheumatology Physician | 207RR0500X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Wagoner
About NPI 1023804424
Monduta Healthcare Services LLC's National Provider Identifier is 1023804424, issued on Apr 15, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wagoner, OK. The record was last updated on Sep 23, 2026.