Organization · Type 2 NPI
Jwgllc
Primary Care Clinic/Center · Calera, OK
NPI number
1972231041
Active
Practice location
712 North Mckinley Ave
Calera, OK 74730
Fax (580) 434-6513
Mailing address
3915 Smiser Rd
Calera, OK 74730-3854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Rural Health Clinic/Center | 261QR1300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1972231041
Jwgllc's National Provider Identifier is 1972231041, issued on Aug 8, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Calera, OK. The record was last updated on Aug 8, 2022.