NPI 1851537096

Prague Healthcare Authority

Organisation Emergency Medicine Physician Prague, OK

Practice location

Address: 1322 Klabzuba Avenue, Prague, OK 74864
Phone: (405) 567-4922
Fax: (405) 567-4290
Mailing address: 1322 Klabzuba Ave, Prague, OK 74864-4900

Authorised official

Name: Dianne M Dyer
Title: Revenue Cycle Manager
Phone: (405) 567-4922

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Oklahoma →

Critical Access Hospital

Hospitals Taxonomy 282NC0060X Licence 2164 (OK)

Other General Acute Care Hospital providers in Oklahoma →

Registry record

NPI: 1851537096
Entity type: Organization
NPI issued: 17 Dec 2008
Record last updated: 8 Apr 2021

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.