Individual
DR. JAMES FORRESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
830 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 226-5120
(580) 223-1003
Mailing address
830 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 226-5120
(580) 223-1003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2309
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117700
—
OK
Enumeration date
12/30/2005
Last updated
05/14/2014
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