Individual
DR. LARRY KYLE HRDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
(918) 341-5311
(918) 341-7338
Mailing address
1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
(918) 341-5311
(918) 341-7338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118750A
—
OK
Enumeration date
06/21/2006
Last updated
12/21/2016
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