SHAWNEE MEDICAL CENTER CLINIC INC NPI 1841832755

NPI Information

SHAWNEE MEDICAL CENTER CLINIC, INC is a cardiovascular disease internal medicine in Ada, OK. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SHAWNEE MEDICAL CENTER CLINIC, INC NPI is 1841832755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3012 ARLINGTON ST
ADA, OK
ZIP 74820-073
Phone: (580) 272-0715
Fax: (580) 272-0772

The provider's authorized official is Crystal L Pena .
The authorized official title is Provider Enrollment/ins Credential and has the following contact phone number (405) 272-7452.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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