Proactive MD Ok LLC

NPI #1558034082 in Woodward, Oklahoma

Provider Information

NPI Number
1558034082
Entity Type
Organization
Organization Name
Proactive MD Ok LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 30, 2021
Last Updated
Jul 30, 2021

Practice Location

Address
1000 TERRA DR
ZIP Code
73801-9596
Phone
(580) 290-1810

Authorized Official

Name
JAN HOPKINS
Title
ASSOC. OPS MGR
Phone
(864) 501-0751

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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