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Organization
DURANT HMA, INC.
Active
Organization
DURANT HMA, INC.
Active
Other names
MCSO Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
Mailing address
1800 W UNIVERSITY BLVD, PO BOX 1207, DURANT, OK 74701-3006
(580) 924-3080
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370014-880
BC BS OKLAHOMA
OK
05
—
1006966610D
—
OK
Enumeration date
04/24/2007
Last updated
02/18/2009
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