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Organization

MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC

Active
Parent organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC
Other names
MedFast Walk In Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC
Authorized official
MR. RAY B WHITMORE JR. (CHIEF FINANCIAL OFFICER)
(580) 208-3104
Entity
Organization

Contact information

Practice address
1425 E LINCOLN RD, SUITE B-2, IDABEL, OK 74745-7345
(580) 286-4304
(580) 286-4305
Mailing address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3104
(580) 208-3199

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/22/2008
Last updated
01/21/2009
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