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Individual
FRANCIS JAMES MCGOURAN III
Active
Individual
FRANCIS JAMES MCGOURAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058840D
—
OK
01
—
37D1015844
CLIA NUMBER
OK
01
—
412151590001
BLUE CROSS BLUE SHIELD
OK
01
—
P00183712
RAILROAD MEDICARE PIN
OK
Enumeration date
11/21/2005
Last updated
12/05/2024
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