Organization
SOUTHWEST MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T QUINLAN MD (PRESIDENT)
(580) 436-6200
Entity
Organization
Contact information
Practice address
301 S BROADWAY AVE, ADA, OK 74820-5805
(580) 436-6200
Mailing address
301 S BROADWAY AVE, ADA, OK 74820-5805
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
OK
Other
Enumeration date
12/26/2007
Last updated
07/21/2022
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