| Iv Health Center | |
|
1107 Walnut Dr Ardmore OK 73401-2354 | |
| (405) 703-3614 | |
| Not Available |
| Full Name | Iv Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1107 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Nikki Busellato (CREDENTIALING/CONTRACTING) |
| Authorized Official Contact | 4057033614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iv Health Center 1107 Walnut Dr Ardmore OK 73401-2354 Ph: () - | Iv Health Center 1107 Walnut Dr Ardmore OK 73401-2354 Ph: (405) 703-3614 |
| NPI Number | 1962941427 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962941427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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