Memorial Medical Group Emergency Physicians LLC

NPI #1346449766 in Ardmore, Oklahoma

Provider Information

NPI Number: 1346449766
Entity Type: Organization
Organization Name: Memorial Medical Group Emergency Physicians LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 16, 2007
Last Updated: Oct 16, 2018

Practice Location

Address: 1011 14TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1828
Phone: (580) 223-5400

Authorized Official

Name: TRACY ENLOE
Title: CFO
Phone: (405) 752-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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