Organization
MCBRIDE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GALLIART (CEO)
(405) 230-9000
Entity
Organization
Contact information
Practice address
1110 N LEE AVE, OKLAHOMA CITY, OK 73103-2612
(405) 230-9000
Mailing address
PO BOX 268981, OKLAHOMA CITY, OK 73126-8981
(405) 230-9000
(405) 230-9175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/14/2005
Last updated
01/07/2011
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