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Organization

FRALEY CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA FRALEY MD (PHYSICIAN OWNER)
(405) 471-5460
Entity
Organization

Contact information

Practice address
925 W I 35 FRONTAGE RD STE 100, EDMOND, OK 73034-7399
(405) 471-5460
(405) 471-6513
Mailing address
925 W I 35 FRONTAGE RD STE 100, EDMOND, OK 73034-7399
(405) 601-6181
(405) 601-7012

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
07/25/2017
Last updated
01/11/2018
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