Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cmg Family Clinic

Organization Family Medicine Physician · NPI 1386817872

Cmg Family Clinic provides Family Medicine Physician services in Wagoner, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008

Practice location Address checks out

1317 S Dewey Ave
Wagoner, OK 74467-7013 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 485-9696
Fax: (918) 485-1701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21712 (OK)

Record details

NPI number1386817872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Swarer — Operations Manager · (918) 453-1234
NPI enumeratedApril 7, 2008
Last updated in NPPESMay 14, 2008
Mailing address1317 S Dewey Ave, Wagoner, OK 74467-7013

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