# FRESH MEDICAL LLC

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

## Provider details

- **NPI number:** 1740664580
- **Authorized official:** ASHLEY DAWN MORRIS NP (OFFICE ADMINSTRATOR)
- **Authorized official phone:** (580) 774-2214

## Contact information

- **Practice address:** 4200 CARRIAGE WAY, WEATHERFORD, OK 73096-9614
- **Practice address phone:** (580) 774-2214
- **Practice address fax:** (580) 774-2843
- **Mailing address:** 4200 CARRIAGE WAY, WEATHERFORD, OK 73096-9614
- **Mailing address phone:** (580) 774-2214
- **Mailing address fax:** (580) 774-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 817 | OK | — |
| 363L00000X | Nurse Practitioner | R0092194 | OK | Yes |

## Other

- **Enumeration date:** 07/10/2015
- **Last updated:** 07/10/2015