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Organization

SOUTHWEST EYE CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID B MALLORY M.D. (CEO/MANAGER)
(405) 631-1527
Entity
Organization

Contact information

Practice address
1240 SW 44TH ST, OKLAHOMA CITY, OK 73109-3604
(405) 631-1527
(405) 631-9930
Mailing address
2708 SW 125TH ST, OKLAHOMA CITY, OK 73170-4759
(405) 378-0724

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18441
OK

Other

Enumeration date
05/24/2006
Last updated
08/22/2020
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