Prague Medical Alliance Pllc

NPI #1730389735 in Prague, Oklahoma

Provider Information

NPI Number: 1730389735
Entity Type: Organization
Organization Name: Prague Medical Alliance Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 1322 KLABZUBA
City: Prague
State: Oklahoma
ZIP Code: 74864
Phone: (405) 567-2295

Authorized Official

Name: MS. KERRY PLUM
Title: OFFICE MANAGER
Phone: (405) 567-2295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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