NPI | 1639689185 |
---|---|
Doing Business As | ZENA AREA COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | MARCIA KAY MATTHEWS Sole Member Of S Corporation In Ok 918-919-2272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 19451) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 19451) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |