| NPI | 1629292016 |
|---|---|
| Doing Business As | THE CLINIC ON MAIN |
| Entity Type | Organization |
| Authorized Contact | KENNETH R WATSON Owner 405-321-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 3796) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |