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Organization
TRICITIES MEDICAL & SURGICAL
Active
Organization
TRICITIES MEDICAL & SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SUE MADRON (CLINIC MANAGER)
(405) 257-6272
Entity
Organization
Contact information
Practice address
1509 S INDIAN RD, WEWOKA, OK 74884-9781
(405) 257-6272
(405) 257-6273
Mailing address
PO BOX 1221, WEWOKA, OK 74884-1221
(405) 257-6272
(405) 257-6273
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100737390A
—
OK
01
—
1902885817
NPI FOR TRUDI FREELAND
OK
05
—
200007490A
—
OK
05
—
200037050A
—
OK
Enumeration date
04/09/2007
Last updated
11/04/2008
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