NPI 1386817872

Cmg Family Clinic

Organisation Family Medicine Physician Wagoner, OK

Practice location

Address: 1317 S Dewey Ave, Wagoner, OK 74467-7013
Phone: (918) 485-9696
Fax: (918) 485-1701

Authorised official

Name: Lisa a Swarer
Title: Operations Manager
Phone: (918) 453-1234

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 21712 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1386817872
Entity type: Organization
NPI issued: 7 Apr 2008
Record last updated: 14 May 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.