# FALLINGWATER MEDICAL ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1538109319
- **Authorized official:** MR. FRANCIS JAMES MCGOURAN III M.D. (PHYSICIAN)
- **Authorized official phone:** (580) 255-8564

## Contact information

- **Practice address:** 2434 HARVILLE RD STE 100, DUNCAN, OK 73533-0100
- **Practice address phone:** (580) 255-8564
- **Practice address fax:** (580) 255-8640
- **Mailing address:** 2434 HARVILLE RD STE 100, DUNCAN, OK 73533-0100
- **Mailing address phone:** (580) 255-8564
- **Mailing address fax:** (580) 255-8640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17237 | OK | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100058840F | — | OK |