| Baracon, Llc | |
|
626 Bryan Dr Durant OK 74701-3462 | |
| (580) 931-9250 | |
| (580) 931-4810 |
| Full Name | Baracon, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 626 Bryan Dr, Durant, Oklahoma |
| Authorized Official Name and Position | Stafford Austin Conway (NEUROLOGIST) |
| Authorized Official Contact | 5809319250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baracon, Llc 626 Bryan Dr Durant OK 74701-3462 Ph: (580) 931-9250 | Baracon, Llc 626 Bryan Dr Durant OK 74701-3462 Ph: (580) 931-9250 |
| NPI Number | 1609181288 |
|---|---|
| Provider Enumeration Date | 08/08/2010 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609181288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Oklahoma) | Primary |
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