| Schafer Medical Pllc | |
|
800 Isabel St Ardmore OK 73401-5118 | |
| (580) 223-5432 | |
| (580) 223-6076 |
| Full Name | Schafer Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Isabel St, Ardmore, Oklahoma |
| Authorized Official Name and Position | Ryan Wilson Schafer (PRESIDENT) |
| Authorized Official Contact | 5803191410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schafer Medical Pllc 800 Isabel St Ardmore OK 73401-5118 Ph: (580) 223-5432 | Schafer Medical Pllc 800 Isabel St Ardmore OK 73401-5118 Ph: (580) 223-5432 |
| NPI Number | 1093291601 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 5496008351 |
|---|---|
| Medicare Enrollment ID | O20181024000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093291601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4352 (Oklahoma) | Primary |
| Provider Name | Ryan W Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780650606 PECOS PAC ID: 6002818309 Enrollment ID: I20070214000389 |
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