| NPI | 1861942948 |
|---|---|
| Doing Business As | COMMUNITY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN FULLER Chairman Of The Board 580-336-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2268) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |