NPI | 1750718730 |
---|---|
Doing Business As | HOMESTEAD MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STACEY MARTIN Owner 918-284-6642 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3218) |
Enumeration Date | 2013-10-04 |
Last Update Date | 2024-11-19 |