| Gdn Llc | |
|
2515 Chisholm Trail Parkway Ste. B Duncan OK 73533-7353 | |
| (580) 606-6852 | |
| (580) 786-2051 |
| Full Name | Gdn Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2515 Chisholm Trail Parkway, Duncan, Oklahoma |
| Authorized Official Name and Position | Katherine Case-salyer (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 4058292282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gdn Llc 1315 Chisholm Trail Pkwy Ste B Duncan OK 73533-1544 Ph: (580) 606-6852 | Gdn Llc 2515 Chisholm Trail Parkway Ste. B Duncan OK 73533-7353 Ph: (580) 606-6852 |
| NPI Number | 1609599661 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609599661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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