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Individual

MICHEAL SCOTT FEUERBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1021 OKLAHOMA AVE, WOODWARD, OK 73801-4661
(580) 290-6424
(580) 290-6423
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(580) 290-6424
(580) 290-6423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0092023
OK

Other

Enumeration date
07/08/2019
Last updated
11/05/2024
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