| Roland Primary Care Clinic Llc | |
|
309 E Ray Fine Blvd Roland OK 74954-5160 | |
| (918) 503-6276 | |
| (941) 850-3627 |
| Full Name | Roland Primary Care Clinic Llc |
|---|---|
| Speciality | General Practice |
| Location | 309 E Ray Fine Blvd, Roland, Oklahoma |
| Authorized Official Name and Position | Frederick J Fuoco (PRESIDENT) |
| Authorized Official Contact | 9185036276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Primary Care Clinic Llc 309 E Ray Fine Blvd Roland OK 74954-5160 Ph: (918) 503-6276 | Roland Primary Care Clinic Llc 309 E Ray Fine Blvd Roland OK 74954-5160 Ph: (918) 503-6276 |
| NPI Number | 1053730903 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053730903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Oklahoma) | Primary |
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