St. Madron Medical Clinic

NPI #1285068791 in Roland, Oklahoma

Provider Information

NPI Number: 1285068791
Entity Type: Organization
Organization Name: St. Madron Medical Clinic
Primary Specialty: Specialist
Enumeration Date: Sep 3, 2013
Last Updated: Aug 6, 2015

Practice Location

Address: 205 E. RAY FINE BLVD ST. 6
City: Roland
State: Oklahoma
ZIP Code: 74954
Phone: (918) 503-6235

Authorized Official

Name: DARREN BREWER
Title: OWNER
Phone: (918) 503-6235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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