Main Street Family Medical, LLC

NPI #1952025249 in Spiro, Oklahoma

Provider Information

NPI Number
1952025249
Entity Type
Organization
Organization Name
Main Street Family Medical, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 29, 2022
Last Updated
Sep 7, 2023

Practice Location

Address
701 W BROADWAY ST
City
Spiro
ZIP Code
74959-2456
Phone
(918) 962-8009

Authorized Official

Name
ELIZABETH TRUDY DAVIS, APRN-CNP
Title
FOUNDER
Phone
(918) 448-7854

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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