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Organization

DR JAMES FORRESTAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES FORRESTAL INC DO (OWNER)
(580) 226-5120
Entity
Organization

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

Enumeration date
09/20/2006
Last updated
05/14/2014
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