| NPI | 1316039688 |
|---|---|
| Doing Business As | FAMILY MEDICAL CLINIC OF WESTERN OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | ERICK CHARLES DEROCHER President 580-243-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK ok2573) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-06-25 |