NPI 1528408523

Altus Premier Health Clinic P.L.L.C.

Organisation Preferred Provider Organization Altus, OK

Practice location

Address: 304 S Park Ln STE B, Altus, OK 73521-5754
Phone: (580) 379-6550
Fax: (580) 379-6559
Mailing address: 304 S Park Ln Suite B, Altus, OK 73521-5753

Authorised official

Name: Abdallah S Dawod
Title: M.D.
Phone: (580) 379-6550

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 24330 (OK)

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Registry record

NPI: 1528408523
Entity type: Organization
NPI issued: 5 Jul 2013
Record last updated: 19 Apr 2016

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.