Provider First Line Business Practice Location Address:
ONE CHOCTAW WAY
Provider Second Line Business Practice Location Address:
CHOCTAW NATION HEALTH CENTER
Provider Business Practice Location Address City Name:
TALIHINA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-567-7012
Provider Business Practice Location Address Fax Number:
918-567-7037
Provider Enumeration Date:
09/06/2006