| NPI | 1639877871 |
|---|---|
| Doing Business As | EASTERN OKLAHOMA HEALTH CLINIC OF ATOKA |
| Former Legal Business Name | ABC MEDICAL CLINIC OF ATOKA |
| Entity Type | Organization |
| Authorized Contact | TRENT BOURLAND CEO 580-927-2327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-10-12 |