| Organization Name: | R. MICHAEL EIMEN, D.O. |
| NPI Number: | 1952533648 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI EIMEN (BUSINESS MANAGER) |
| Mailing Address: | 500 Cimarron Dr Mannford |
| State: | OK US |
| Postal Code: | 740449504 |
| Phone Number: | 9188655000 |
| Fax Number: | 9188655050 |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 07/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/17/2010 |
| NPI Reactivation Date: | 07/21/2010 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1777 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |