Organization
SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
Active
Parent organization
SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
Other names
VALLEY COMMUNITY CLINIC - DERMATOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC
Authorized official
MR. MADHUKAR SHARMA (OWNER)
(979) 399-4966
Entity
Organization
Contact information
Practice address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 888-5000
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 888-5000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
10/18/2022
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