Individual
FRANCIS JAMES MCGOURAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2434 HARVILLE RD STE 100, DUNCAN, OK 73533-0100
(580) 255-8564
(580) 255-8640
Mailing address
2434 HARVILLE RD STE 100, DUNCAN, OK 73533-0100
(580) 255-8564
(580) 255-8640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058840D
—
OK
01
—
37D1015844
CLIA NUMBER
OK
01
—
412151590001
BLUE CROSS BLUE SHIELD
OK
01
—
P00183712
RAILROAD MEDICARE PIN
OK
Enumeration date
11/21/2005
Last updated
12/05/2024
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