Organization
MCBRIDE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A. GALLIART (CEO)
(405) 230-9000
Entity
Organization
Contact information
Practice address
3700 36TH AVE NW, NORMAN, OK 73072-1803
(405) 230-9600
(405) 230-9601
Mailing address
1110 N LEE AVE, OKLAHOMA CITY, OK 73103-2612
(405) 230-9000
(405) 230-9475
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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