NPI 1295778074
Family Medical Clinic
Practice location
- Address
- 1405 E Kirk St Suite B, Hugo, OK 74743-3603
- Phone
- (580) 326-6111
- Fax
- (580) 326-0469
Authorised official
- Name
- Sean D Boone
- Title
- Sole Proprietor
- Phone
- (580) 326-6111
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1295778074
- Entity type
- Organization
- NPI issued
- 13 Jun 2006
- Record last updated
- 20 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.