Baracon, LLC

NPI #1609181288 in Durant, Oklahoma

Provider Information

NPI Number: 1609181288
Entity Type: Organization
Organization Name: Baracon, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 8, 2010
Last Updated: Jul 21, 2022

Practice Location

Address: 626 BRYAN DR
City: Durant
State: Oklahoma
ZIP Code: 74701-3462
Phone: (580) 931-9250

Authorized Official

Name: DR. STAFFORD AUSTIN CONWAY JR., M.D.
Title: NEUROLOGIST
Phone: (580) 931-9250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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