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Organization
PMO MEDICAL PLLC
Active
Organization
PMO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HALFORD DO (PHYSICIAN / OWNER)
(918) 794-6008
Entity
Organization
Contact information
Practice address
4 E CLARK BASS BLVD STE 205, MCALESTER, OK 74501-4285
(918) 421-8897
Mailing address
701 W QUEENS ST STE 100, BROKEN ARROW, OK 74012-1785
(918) 794-6008
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3924
OK
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200618300E
—
OK
Enumeration date
08/13/2018
Last updated
08/13/2018
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