| NPI | 1649155318 |
|---|---|
| Doing Business As | NWMRMC OPT CLINIC - FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LORIE TILL Chief Executive Officer 662-624-3463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |