Organization Name: | ONSITE MEDICAL, PLLC |
NPI Number: | 1114227360 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMORY J HILTON (OWNER) |
Mailing Address: | 1030 E Washington Ave Mcalester |
State: | OK US |
Postal Code: | 745014850 |
Phone Number: | 9184261615 |
Fax Number: | 9184262808 |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 10/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |