Provider Demographics
NPI:1275683526
Name:SEELIG MEDICAL CLINIC
Entity Type:Organization
Organization Name:SEELIG MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:SEELIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-377-2237
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:OK
Mailing Address - Zip Code:74026-0159
Mailing Address - Country:US
Mailing Address - Phone:918-377-2237
Mailing Address - Fax:918-377-2238
Practice Address - Street 1:202 BROADWAY
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:OK
Practice Address - Zip Code:74834
Practice Address - Country:US
Practice Address - Phone:918-377-2237
Practice Address - Fax:918-377-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty