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1200 N Glenn English Cordell OK 73632 | |
(580) 832-3838 | |
(580) 832-5119 |
Full Name | |
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Speciality | Family Medicine |
Location | 1200 N Glenn English, Cordell, Oklahoma |
Authorized Official Name and Position | Brent Smith (CFO) |
Authorized Official Contact | 58203579984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 785 Lawton OK 73502 Ph: (580) 357-9984 | 1200 N Glenn English Cordell OK 73632 Ph: (580) 832-3838 |
NPI Number | 1265451686 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 05/08/2015 |
Identifier | Type | State | Issuer |
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1265451686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 14008 (Oklahoma) | Primary |