Mcclain Emergency Group, LLC

NPI #1649648478 in Purcell, Oklahoma

Provider Information

NPI Number: 1649648478
Entity Type: Organization
Organization Name: Mcclain Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 10, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 1500 N GREEN AVE
City: Purcell
State: Oklahoma
ZIP Code: 73080-1642
Phone: (800) 893-9698

Authorized Official

Name: RYAN DOMENGEAUX
Title: GENERAL COUNCIL
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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