Organization
ARDMORE OBGYN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D BECKER M.D. (MANAGER)
(580) 223-6134
Entity
Organization
Contact information
Practice address
1045 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-6134
(580) 223-5962
Mailing address
1045 15TH AVE NW, ARDMORE, OK 73401-1810
(580) 223-6134
(580) 223-5962
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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