Organization
RICHARD M. ALBERTSON, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M ALBERTSON M,D. (MEMBER)
(580) 255-2122
Entity
Organization
Contact information
Practice address
1607 BROOKWOOD AVE, DUNCAN, OK 73533-1360
(580) 255-2122
(580) 255-9695
Mailing address
1607 BROOKWOOD AVE, DUNCAN, OK 73533-1360
(580) 255-2122
(580) 255-9695
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20765
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052445
RAILROAD MEDICARE
—
05
—
100256970C
—
OK
01
—
45496780001
BLUE CROSS
—
Enumeration date
02/22/2007
Last updated
01/24/2013
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