Organization
4 R FAMILIES MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO RENEE SHORT MD (OWNER)
(580) 297-5340
Entity
Organization
Contact information
Practice address
721 W BROADWAY AVE STE C, ENID, OK 73701-3800
(580) 297-5340
Mailing address
721 W BROADWAY AVE STE C, ENID, OK 73701-3800
(580) 297-5340
(580) 297-5344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23498
OK
Other
Enumeration date
10/23/2017
Last updated
09/04/2024
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