Organization
SOUTHEASTERN CLINICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY LYNN JUDGE MD (PRESIDENT)
(405) 947-8584
Entity
Organization
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(405) 947-8584
(405) 948-6507
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(405) 947-8584
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17491
OK
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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