Breedlove Wound Care of Oklahoma LLC

NPI #1659183135 in Madill, Oklahoma

Provider Information

NPI Number: 1659183135
Entity Type: Organization
Organization Name: Breedlove Wound Care of Oklahoma LLC
Primary Specialty: Surgery
Enumeration Date: Jan 22, 2025
Last Updated: Jan 22, 2025

Practice Location

Address: 207 E TALIAFERRO ST
City: Madill
State: Oklahoma
ZIP Code: 73446-3410
Phone: (903) 947-2020

Authorized Official

Name: ROBERT WILSON
Title: ASSISTANT MANAGER CREDENTIALING
Phone: (956) 331-2458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Surgery	208600000X	Primary

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