| NPI | 1710311154 |
|---|---|
| Doing Business As | ACADIA FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THERESA A FLOWERETTE Owner/Provider 918-287-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 3512416926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 70154) |
| 207Q00000X Family Medicine (Licence: OK 27629) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 27629) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2014-05-18 |