Roland Primary Care Clinic LLC

NPI #1053730903 in Roland, Oklahoma

Provider Information

NPI Number: 1053730903
Entity Type: Organization
Organization Name: Roland Primary Care Clinic LLC
Primary Specialty: General Practice
Enumeration Date: Apr 8, 2014
Last Updated: Apr 8, 2014

Practice Location

Address: 309 E RAY FINE BLVD
City: Roland
State: Oklahoma
ZIP Code: 74954-5160
Phone: (918) 503-6276

Authorized Official

Name: DR. FREDERICK J FUOCO, MD
Title: PRESIDENT
Phone: (918) 503-6276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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