# QUICK MED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295811776
- **Authorized official:** DR. JOHN M MIGLIACCIO MD (PRESIDENT)
- **Authorized official phone:** (580) 286-3278

## Contact information

- **Practice address:** 1401 S. LYNN LANE, IDABEL, OK 74745
- **Practice address phone:** (580) 286-3278
- **Practice address fax:** (580) 286-3283
- **Mailing address:** 1400 SE ADAMS ST, IDABEL, OK 74745-5203
- **Mailing address phone:** (580) 286-3278
- **Mailing address fax:** (580) 286-3283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 12763 | OK | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 10/21/2014