Gregory Medical Clinic Llc

NPI 1437482692 - Family Medicine - 207Q00000X

NPI Details
NPI 1437482692
Enumeration Date 09/04/2009
Last Updated 09/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MYRA ANN MYRA
Position OWNER/PHYSICIAN
Phone (918) 647-9533
Fax (918) 647-9492
Practice Location
2202 N BROADWAY ST
POTEAU OK, 74953-2000, US
Phone (918) 647-9533
Fax (918) 647-9492
Business Location
2202 N BROADWAY ST
PO BOX 1368
POTEAU OK, 74953-2000, US
Phone (918) 647-9533
Fax (918) 647-9492
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 3031
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According to our database, Gregory Medical Clinic Llc NPI is 1437482692, taxonomy code is 207Q00000X and license number is 3031, license state is located at Oklahoma. Gregory Medical Clinic Llc physically located at 2202 N Broadway St, Poteau OK, 74953-2000. NPI Number 1033115704 has the healthcare provider type.

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1437482692 NPI number is provided on an as is basis without warranty of any kind. 1437482692 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Medical Clinic Llc are for informational purposes only.