Proactive MD Ok, LLC

NPI #1649943176 in Claremore, Oklahoma

Provider Information

NPI Number
1649943176
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
6606 E 540 RD
ZIP Code
74019-2534
Phone
(918) 965-0220

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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