Organization
MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC
Active
Other names
MERCY OCCUPATIONAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BAKER FORE DO (MEDICAL DIRECTOR)
(580) 226-7246
Entity
Organization
Contact information
Practice address
921 14TH AVE NW, ARDMORE, OK 73401-1837
(580) 223-5311
(580) 223-8227
Mailing address
921 14TH AVE NW, ARDMORE, OK 73401-1837
(580) 223-5311
(580) 223-8227
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
05/07/2008
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