NPI | 1144534603 |
---|---|
Doing Business As | SMC WEST END CLINIC |
Entity Type | Organization |
Authorized Contact | KANDICE ALLEN CEO 580-430-3309 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital |
Additional Taxonomies | 103T00000X Psychologist (Licence: OK 25482) |
207R00000X Internal Medicine (Licence: OK 25482) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2020-09-10 |