specializing in family medicine in Ada, Oklahoma

NPI: 1497186357

Provider Type

2

Practice Locations

Mailing Location

201 N MONTE VISTA ST STE A

ADA, OK 74820

📞 5803324418

📠 5803320324

Practice Location

201 N MONTE VISTA ST

STE A

ADA, OK 74820

📞 5803324418

📠 5803320324

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/3/2013
Last Updated:7/7/2014

Credentials

Primary Credential: