Organization
CANEY VALLEY MEDICAL FOUNDATION
Active
Other names
Caney Valley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HIBDON (ADMINISTRATOR)
(918) 536-1024
Entity
Organization
Contact information
Practice address
400 WYANDOTTE, RAMONA, OK 74061
(918) 536-1024
(918) 536-2203
Mailing address
400 WYANDOTTE, RAMONA, OK 74061
(918) 536-1024
(918) 536-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
12/19/2013
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