Organization
ARBUCKLE MEMORIAL HOSPITAL
Active
Other names
ARBUCKLE CLINIC AT DAVIS
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE STEWART GILMORE MD (PHYSICIAN)
(580) 369-3500
Entity
Organization
Contact information
Practice address
610 E MAIN ST, DAVIS, OK 73030-1912
(580) 369-3500
(580) 369-3513
Mailing address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 369-3500
(580) 369-3513
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700790G
—
OK
Enumeration date
03/02/2011
Last updated
03/09/2011
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