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Organization
ARBUCKLE MEMORIAL HOSPITAL
Active
Organization
ARBUCKLE MEMORIAL HOSPITAL
Active
Other names
ARBUCKLE CLINIC AT DAVIS
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE STEWART GILMORE MD (PHYSICIAN)
(580) 369-3500
Entity
Organization
Contact information
Practice address
610 E MAIN ST, DAVIS, OK 73030-1912
(580) 369-3500
(580) 369-3513
Mailing address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 369-3500
(580) 369-3513
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700790G
—
OK
Enumeration date
03/02/2011
Last updated
03/09/2011
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