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Individual

DAVID FROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13107
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
44968
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
840255530059
ROCKY MTN HEALTH PLANS
CO
05
92900721
CO
01
P00453165
MEDICARE RAILROAD CARRIER
CO
Enumeration date
12/22/2005
Last updated
01/02/2015
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