Basic Information
| Provider Information | |||||||||
| NPI: | 1881756740 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MEDICAL ASSOCIATES OF CUSHING, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 E CHERRY ST | ||||||||
| Address2: | |||||||||
| City: | CUSHING | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740234102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9182250616 | ||||||||
| FaxNumber: | 9182253740 | ||||||||
| Practice Location | |||||||||
| Address1: | 1030 E CHERRY ST | ||||||||
| Address2: | |||||||||
| City: | CUSHING | ||||||||
| State: | OK | ||||||||
| PostalCode: | 740234102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9182250616 | ||||||||
| FaxNumber: | 9182253740 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 04/22/2008 | ||||||||
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| AuthorizedOfficialLastName: | OESTMANN | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9182250616 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 173000000X | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Legal Medicine |
No ID Information.