Pack Family Clinic, Pllc

NPI #1124531736 in Ada, Oklahoma

Provider Information

NPI Number: 1124531736
Entity Type: Organization
Organization Name: Pack Family Clinic, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 6, 2017
Last Updated: Aug 23, 2021

Practice Location

Address: 1509 AUGUSTA DR
City: Ada
State: Oklahoma
ZIP Code: 74820-8576
Phone: (918) 728-4942

Authorized Official

Name: DR. VALERIE M PACK, DO
Title: FAMILY PHYSICIAN
Phone: (918) 728-4942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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