Individual provider · Type 1 NPI
Charles Stephen Paine Jr., MD
General Practice Physician · Cushing, OK
NPI number
1275759367
Active
Practice location
3200 S Kings Hwy
Cushing, OK 74023-5355
Mailing address
8706 W Eseco
Agra, OK 74824-6208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 01036853 (IN) |
| General Practice Physician Primary | 208D00000X | 28754 (OK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Cushing
About NPI 1275759367
Charles Stephen Paine Jr., MD's National Provider Identifier is 1275759367, issued on Apr 17, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cushing, OK. The record was last updated on Oct 30, 2014.