Organization
PRIMECARE FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE MARIE MALONE CPC (OFFICE MANAGER)
(580) 226-1010
Entity
Organization
Contact information
Practice address
1405 4TH AVE NW # 311, ARDMORE, OK 73401-2708
(580) 490-3336
(580) 490-3342
Mailing address
1019 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 490-3336
(580) 490-3342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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