Main Street Family Clinic LLC

NPI #1275326191 in Canton, Oklahoma

Provider Information

NPI Number: 1275326191
Entity Type: Organization
Organization Name: Main Street Family Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2025
Last Updated: Jul 9, 2025

Practice Location

Address: 213 W MAIN ST
City: Canton
State: Oklahoma
ZIP Code: 73724-1234
Phone: (405) 506-9101

Authorized Official

Name: BETH HOLDERBY, APRN
Title: OWNER
Phone: (580) 551-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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