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Organization

MADISON MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM LANCE MADISON (CLINICAL DIRECTOR)
(918) 642-5492
Entity
Organization

Contact information

Practice address
701 CEDAR LAKE BLVD STE 151, OKLAHOMA CITY, OK 73114-7818
(405) 463-1999
Mailing address
PO BOX 187, FAIRFAX, OK 74637-0187
(918) 642-5310
(918) 642-3690

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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