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Organization
FEUERBORN & MCCRORY LLC
Active
Organization
FEUERBORN & MCCRORY LLC
Active
Other names
Seminole Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY O MCCRORY D.O. (OWNER)
(405) 382-3650
Entity
Organization
Contact information
Practice address
2249 BOREN BLVD, SEMINOLE, OK 74868-1927
(405) 382-3650
(405) 382-6028
Mailing address
2249 BOREN BLVD, SEMINOLE, OK 74868-1927
(405) 382-3650
(405) 382-6028
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0679
RR MEDICARE
OK
Enumeration date
05/11/2006
Last updated
10/24/2007
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