Organization
UCR MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J FUOCO (PRESIDENT)
(985) 869-0271
Entity
Organization
Contact information
Practice address
309 E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 503-6257
(918) 503-6259
Mailing address
309 E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 503-6257
(918) 503-6259
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/22/2011
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