Canadian Valley Clinic INC

NPI #1700956240 in El Reno, Oklahoma

Provider Information

NPI Number
1700956240
Entity Type
Organization
Organization Name
Canadian Valley Clinic INC
Primary Specialty
General Practice
Enumeration Date
Nov 9, 2006
Last Updated
Jun 27, 2011

Practice Location

Address
2001 PARKVIEW DR
ZIP Code
73036-2107
Phone
(405) 262-2114

Authorized Official

Name
MS. DIANNE L WALDE
Title
SECRETARY
Phone
(405) 262-2114

Specialties & Taxonomy Codes

Specialty
General Practice

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