Hydro Medical Clinic Pllc

NPI 1447404868 - Family Medicine - 207Q00000X

NPI Details
NPI 1447404868
Enumeration Date 11/12/2008
Last Updated 04/14/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRENDA RUTH BRENDA
Position OWNER
Phone (405) 663-2291
Fax (405) 663-2191
Practice Location
579 N BROADWAY AVE
HYDRO OK, 73048-8425, US
Phone (405) 663-2291
Fax (405) 663-2191
Business Location
579 N BROADWAY AVE
HYDRO OK, 73048-8425, US
Phone (405) 663-2291
Fax (405) 663-2191
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 3099
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According to our database, Hydro Medical Clinic Pllc NPI is 1447404868, taxonomy code is 207Q00000X and license number is 3099, license state is located at Oklahoma. Hydro Medical Clinic Pllc physically located at 579 N Broadway Ave, Hydro OK, 73048-8425. NPI Number 1033115704 has the healthcare provider type.

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1447404868 NPI number is provided on an as is basis without warranty of any kind. 1447404868 is maintained by the National Plan & Provider Enumeration System. The contents of Hydro Medical Clinic Pllc are for informational purposes only.