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 (OWNER) |
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 | 1922116722 |
---|---|
Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922116722 | NPI | - | NPPES |
17679 | Other | OK | OK LICENSE # |
442605098-002 | Other | OK | BCBS 12 DIGIT # |
1811951999 | Other | OK | TAX ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17679 (Oklahoma) | Primary |
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