Organization
PRAGUE MEDICAL ALLIANCE PLLC
Active
Other names
Prague Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY PLUM (OFFICE MANAGER)
(405) 567-2295
Entity
Organization
Contact information
Practice address
1322 KLABZUBA, PRAGUE, OK 74864
(405) 567-2295
(405) 567-4905
Mailing address
PO BOX 842, PRAGUE, OK 74864-0842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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