Organization
MAIN STREET FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HOLDERBY APRN (OWNER)
(580) 551-9131
Entity
Organization
Contact information
Practice address
213 W MAIN ST, CANTON, OK 73724-1234
(405) 506-9101
(405) 936-0561
Mailing address
PO BOX 57390, OKLAHOMA CITY, OK 73157-7390
(405) 506-9101
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
07/09/2025
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