# PM MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770382699
- **Authorized official:** JEFF MCCLELLAN (MEMBER/EMPLOYEE)
- **Authorized official phone:** (918) 413-8542

## Contact information

- **Practice address:** 801 W MAIN ST STE D, STIGLER, OK 74462-2304
- **Practice address phone:** (918) 413-8542
- **Mailing address:** PO BOX 161, MCCURTAIN, OK 74944-0161
- **Mailing address phone:** (918) 413-8542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2025
- **Last updated:** 05/06/2025