NPI | 1801313564 |
---|---|
Doing Business As | CROSSROADS WELLNESS CENTER AND ZENA AREA COMMUNITY CLINIC |
Doing Business As | CROSSROADS WELLNESS CLINIC |
Doing Business As | ZENA AREA COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | MARCIA KAY MATTHEWS Physician Co Owner 918-919-2272 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 19451) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2018-06-16 |