| NPI | 1942333737 |
|---|---|
| Doing Business As | TONKAWA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIE JESSE STREET President 580-628-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 631) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |