Eastside Clinic
Eastside Clinic is a Family Medicine Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.
- Licensed in
- OK
- In the registry since
- 2008
Practice location Address checks out
22408 Highway 51Tahlequah, OK 74464-2058
Phone: (918) 456-6250
Fax: (918) 456-4080
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 15674 (OK) |
|---|
Record details
| NPI number | 1023295193 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Eastside Clinic |
| Authorized official | James Seratt — Owner/Doctor · (918) 456-6250 |
| NPI enumerated | January 30, 2008 |
| Last updated in NPPES | July 28, 2008 |
| Mailing address | Po Box 59, Tahlequah, OK 74465-0059 |
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Dr. Owen Buck Gilmore, MD
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