OLIN W FENTON OD

CHOCTAW NATION OF OKLAHOMA

Dr OLIN W FENTON OD is a male medical professional, specializing in Optometry. He graduated in 2003.

Contact

CHOCTAW NATION OF OKLAHOMA

1 CHOCTAW WAY
TALIHINA
OK
745712022

Tel: 9185677000

OLIN W FENTON OD Information

Npi 1164416574
Pac Id 5395639702
Professional Enrollment Id I20040209000345
Last Name FENTON
First Name OLIN
Middle Name W
Suffix
Gender M
Credential OD
Medical School Name OTHER
Graduation Year 2003
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CHOCTAW NATION OF OKLAHOMA
Group Practice Pac Id 1759294838
Number Of Group Practice Members 175
Line 1 Street Address 1 CHOCTAW WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TALIHINA
State OK
Zip Code 745712022
Phone Number 9185677000
Hospital Affiliation Ccn 1 370172
Hospital Affiliation Lbn 1 CHOCTAW NATION HEALTH SERVICES AUTHORITY
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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