Individual
LARRY MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1219 K ST NW, ARDMORE, OK 73401-1801
(580) 798-4523
(580) 319-5349
Mailing address
508 MAYALL ST, MARIETTA, OK 73448-4206
(580) 798-4523
(580) 319-5349
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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