Organization
PRO-CARE FAMILY HEALTH OF OKLAHOMA , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS DOOLY (MEMBER)
(918) 647-0670
Entity
Organization
Contact information
Practice address
1103 DEWEY AVE, POTEAU, OK 74953-4411
(918) 647-0670
(918) 647-0460
Mailing address
PO BOX 1278, POTEAU, OK 74953-1278
(918) 647-0670
(918) 647-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/01/2018
Last updated
08/09/2022
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