Organization
RONALD W SHRECK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WAYNE SHRECK M.D. (PRESIDENT)
(580) 242-7020
Entity
Organization
Contact information
Practice address
407 E CHEROKEE AVE, ENID, OK 73701-5814
(580) 242-7020
(580) 233-1617
Mailing address
407 E CHEROKEE AVE, ENID, OK 73701-5814
(580) 242-7020
(580) 233-1617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11370
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129380A
—
OK
Enumeration date
02/22/2007
Last updated
03/12/2010
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