Organization
MICHAEL G. MCCAULEY M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRA BARBOUR (FINANCE ADMIN)
(580) 226-0812
Entity
Organization
Contact information
Practice address
2410 N COMMERCE ST, ARDMORE, OK 73401
(580) 436-2156
(580) 226-0820
Mailing address
2410 N COMMERCE ST, ARDMORE, OK 73401
(580) 226-0812
(580) 226-0820
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042070A
—
OK
Enumeration date
07/18/2006
Last updated
05/27/2020
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