Organization · Type 2 NPI

Tahlequah Family Medicine Clinic

Primary Care Clinic/Center · Tahlequah, OK

NPI number 1144633041 Active

Practice location

204 Woodlawn Ave
Tahlequah, OK 74464-3318

Mailing address

101 Tommye Ln
Tahlequah, OK 74464-4173

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X14708 (OK)

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

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About NPI 1144633041

Tahlequah Family Medicine Clinic's National Provider Identifier is 1144633041, issued on Jun 9, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 9, 2014.