| Gary Paddack Md | |
|
902 Arlington Ctr Pmb 224 Ada OK 74820-2883 | |
| (580) 436-2262 | |
| (580) 272-0186 |
| Full Name | Gary Paddack Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 902 Arlington Ctr, Ada, Oklahoma |
| Authorized Official Name and Position | Gary Paddack (OWNER) |
| Authorized Official Contact | 5804362262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Paddack Md 902 Arlington Ctr Pmb 224 Ada OK 74820-2883 Ph: (580) 436-2262 | Gary Paddack Md 902 Arlington Ctr Pmb 224 Ada OK 74820-2883 Ph: (580) 436-2262 |
| NPI Number | 1164571436 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164571436 | NPI | - | NPPES |
| 200034360A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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