| NPI | 1518559368 |
|---|---|
| Doing Business As | SHAWNEE FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RODNEY OMAR MCCRORY Partner Provider 405-395-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-06-17 |