| Ada Family Medical Center, Pllc | |
|
530 N Monte Vista St Ada OK 74820-4612 | |
| (580) 310-9510 | |
| (580) 436-4447 |
| Full Name | Ada Family Medical Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 530 N Monte Vista St, Ada, Oklahoma |
| Authorized Official Name and Position | Marc Jason Davis (OWNER / PHYSICIAN) |
| Authorized Official Contact | 5803109510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Family Medical Center, Pllc 530 N Monte Vista St Ada OK 74820-4612 Ph: (580) 310-9510 | Ada Family Medical Center, Pllc 530 N Monte Vista St Ada OK 74820-4612 Ph: (580) 310-9510 |
| NPI Number | 1023063997 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023063997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3540 (Oklahoma) | Primary |
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