Organization
RED RIVER MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA F NORRELL (CREDENTIALING)
(580) 695-0101
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
(580) 730-0510
(580) 357-8787
Mailing address
4411 W GORE BLVD STE A2, LAWTON, OK 73505-5977
(580) 730-0510
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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