SELF PROVIDER GROUP

Internal Medicine Physician

NPI: 1134387855Organization

Specialties, Licenses & Credentials

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

14793(OK)

Contact & Hours

Address: 410 4TH ST, STE G
ALVA, OK 73717
Phone: (580) 327-5442

Quick Facts

NPI: 1134387855
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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