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Organization
HCC OF CLINTON LLC
Active
Organization
HCC OF CLINTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WEISS (SOLE MEMBER)
(800) 931-8882
Entity
Organization
Contact information
Practice address
100 N 30TH ST, CLINTON, OK 73601-3117
(580) 323-2363
Mailing address
7725 W RENO AVE STE 150, OKLAHOMA CITY, OK 73127-9712
(800) 962-3303
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
02/20/2020
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