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Organization
CANEY VALLEY MEDICAL FOUNDATION
Active
Organization
CANEY VALLEY MEDICAL FOUNDATION
Active
Other names
Caney Valley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HIBDON (ADMINISTRATOR)
(918) 536-1024
Entity
Organization
Contact information
Practice address
400 WYANDOTTE, RAMONA, OK 74061
(918) 536-1024
(918) 536-2203
Mailing address
400 WYANDOTTE, RAMONA, OK 74061
(918) 536-1024
(918) 536-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
12/19/2013
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