Ada Family Medical Center, Pllc

NPI #1023063997 in Ada, Oklahoma

Provider Information

NPI Number: 1023063997
Entity Type: Organization
Organization Name: Ada Family Medical Center, Pllc
Primary Specialty: Family Medicine
Enumeration Date: May 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 530 N MONTE VISTA ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4612
Phone: (580) 310-9510

Authorized Official

Name: DR. MARC JASON DAVIS, D.O.
Title: OWNER / PHYSICIAN
Phone: (580) 310-9510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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