Organization
ST. MARY'S PHYSICIAN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLEN EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
915 E OWEN K GARRIOTT RD, ENID, OK 73701-6156
(580) 249-3929
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(484) 913-7527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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