Park Place Medical

NPI #1114334885 in Mustang, Oklahoma

Provider Information

NPI Number
1114334885
Entity Type
Organization
Organization Name
Park Place Medical
Primary Specialty
Pediatrics
Enumeration Date
Jul 15, 2014
Last Updated
Jul 15, 2014

Practice Location

Address
500 PARK PL
ZIP Code
73064-3104
Phone
(406) 376-5439

Authorized Official

Name
DR. DONNA RAYE COSBY, MD
Title
OWNER
Phone
(405) 376-5439

Specialties & Taxonomy Codes

Specialty
Pediatrics

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