OrganizationActive
Internal Medicine Clinic PLLC
NPI 1164541900 · Internal Medicine Physician · Guymon, OK
Provider details
- NPI number
- 1164541900
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeffrey Lim, Member
- License
- 18750 (OK)
Practice location
410 Ne 12th Street
Guymon, OK 73942
Phone: (580) 338-5500
Fax: (580) 468-4942
Mailing address
Po Box 158
Guymon, OK 73942-0158
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.