| Triad Complete Healthcare A12 | |
|
1023 15th Ave Nw Ardmore OK 73401-1810 | |
| (580) 251-7104 | |
| Not Available |
| Full Name | Triad Complete Healthcare A12 |
|---|---|
| Speciality | Family Medicine |
| Location | 1023 15th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Matthew Bintz (CEO) |
| Authorized Official Contact | 9702707929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Complete Healthcare A12 2703 N 14th St Ponca City OK 74601-1738 Ph: (580) 749-7846 | Triad Complete Healthcare A12 1023 15th Ave Nw Ardmore OK 73401-1810 Ph: (580) 251-7104 |
| NPI Number | 1891506960 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891506960 | NPI | - | NPPES |
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