DLS MEDICAL CLINIC NPI 1851914113

NPI Information

DLS MEDICAL CLINIC is a rural health clinic center in Stigler, OK. DLS MEDICAL CLINIC NPI is 1851914113. The provider is registered as an organization entity type.
The provider Is Doing Business As Stigler Primary Care Clinic.

The provider's business location address is:

907 NW 5TH ST
STIGLER, OK
ZIP 74462-611
Phone: (918) 967-0055
Fax: (918) 967-2808

The provider's authorized official is Dorothy Lee Scott .
The authorized official title is Owner and has the following contact phone number (918) 967-0055.

The CLIA number assigned to this NPI record is 37D2184887 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 12/12/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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