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Organization

RUFFIN MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY L RUFFIN DO (OWNER)
(405) 281-6065
Entity
Organization

Contact information

Practice address
1940 HARPER ST, CHOCTAW, OK 73020-8095
(405) 281-6065
(405) 281-6068
Mailing address
11124 NE 5TH ST # NA, CHOCTAW, OK 73020-7701
(405) 281-6065

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200072870B
OK
Enumeration date
02/24/2022
Last updated
09/27/2022
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