Organization
ROLAND PRIMARY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J FUOCO MD (PRESIDENT)
(918) 503-6276
Entity
Organization
Contact information
Practice address
309 E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 503-6276
(941) 850-3627
Mailing address
309 E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 503-6276
(941) 850-3627
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
OK
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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