Organization
QUICK MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M MIGLIACCIO MD (PRESIDENT)
(580) 286-3278
Entity
Organization
Contact information
Practice address
1401 S. LYNN LANE, IDABEL, OK 74745
(580) 286-3278
(580) 286-3283
Mailing address
1400 SE ADAMS ST, IDABEL, OK 74745-5203
(580) 286-3278
(580) 286-3283
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12763
OK
Other
Enumeration date
10/27/2006
Last updated
10/21/2014
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