Provider First Line Business Practice Location Address:
RR 1 HWY 281 SOUTH
Provider Second Line Business Practice Location Address:
USPHS IHS WATONGA HEALTH CENTER
Provider Business Practice Location Address City Name:
WATONGA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-623-4994
Provider Business Practice Location Address Fax Number:
580-623-5490
Provider Enumeration Date:
12/14/2006