| Jeffrey A Rother Md Pc | |
|
1221 G St Nw Ardmore OK 73401-1812 | |
| (580) 224-2900 | |
| (580) 224-0009 |
| Full Name | Jeffrey A Rother Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1221 G St Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Jeffrey A Rother (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5802242900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A Rother Md Pc 1221 G St Nw Ardmore OK 73401-1812 Ph: (580) 224-2900 | Jeffrey A Rother Md Pc 1221 G St Nw Ardmore OK 73401-1812 Ph: (580) 224-2900 |
| NPI Number | 1225179872 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225179872 | NPI | - | NPPES |
| 100101430A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17679 (Oklahoma) | Primary |
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