Cms Outpatient Clinic Inc.

NPI #1154489540 in Ada, Oklahoma

Provider Information

NPI Number: 1154489540
Entity Type: Organization
Organization Name: Cms Outpatient Clinic Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 5, 2006
Last Updated: Aug 17, 2009

Practice Location

Address: 201 N MONTE VISTA ST
Address 2: SUITE C
City: Ada
State: Oklahoma
ZIP Code: 74820-7220
Phone: (580) 310-0015

Authorized Official

Name: DR. MICHAEL R, STAFFORD, DO
Title: PHYSICIAN
Phone: (580) 310-0015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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