| Steven L Fillmore, Md | |
|
1150 N Hills Shopping Ctr Ada OK 74820-1864 | |
| (580) 436-1506 | |
| (580) 436-1519 |
| Full Name | Steven L Fillmore, Md |
|---|---|
| Speciality | Clinic/center |
| Location | 1150 N Hills Shopping Ctr, Ada, Oklahoma |
| Authorized Official Name and Position | Steven L Fillmore (OWNER) |
| Authorized Official Contact | 5804361506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L Fillmore, Md 1150 N Hills Shopping Ctr Ada OK 74820-1864 Ph: (580) 436-1506 | Steven L Fillmore, Md 1150 N Hills Shopping Ctr Ada OK 74820-1864 Ph: (580) 436-1506 |
| NPI Number | 1922152545 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922152545 | NPI | - | NPPES |
| 100259020A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14295 (Oklahoma) | Primary |
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