| Fred M. Ingram, Inc | |
|
1205 W Main St Collinsville OK 74021-3114 | |
| (918) 371-5885 | |
| (918) 371-5986 |
| Full Name | Fred M. Ingram, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 W Main St, Collinsville, Oklahoma |
| Authorized Official Name and Position | Fred M Ingram (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 9183715885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred M. Ingram, Inc 1205 W Main St Collinsville OK 74021-3114 Ph: (918) 371-5885 | Fred M. Ingram, Inc 1205 W Main St Collinsville OK 74021-3114 Ph: (918) 371-5885 |
| NPI Number | 1437471166 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437471166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2098 (Oklahoma) | Primary |
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