Ardmore Obgyn, Pllc

NPI #1700897501 in Ardmore, Oklahoma

Provider Information

NPI Number: 1700897501
Entity Type: Organization
Organization Name: Ardmore Obgyn, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Aug 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1045 15TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1810
Phone: (580) 223-6134

Authorized Official

Name: DR. JOHN D BECKER, M.D.
Title: MANAGER
Phone: (580) 223-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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