Doctor Name: | RICHARD J HELTON |
NPI Number: | 1972545820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2096 |
Business Practice Address: | 108 W Ohio Coalgate, OK - 745382827 |
Business Phone Number: | 5809272334 |
Business Fax Number: | 5809279941 |
Mailing Address: | Po Box 345, COALGATE |
State: | OK |
Postal Code: | 745380345 |
Phone Number: | 5809272334 |
Fax Number: | 5809279941 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 2096 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |