Organization
JEFFREY K MCILROY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY FEATHERSTON (OFFICE MANAGER)
(918) 342-2622
Entity
Organization
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200054200A
—
OK
Enumeration date
04/26/2007
Last updated
05/12/2008
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