Organization
SHARROCK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLIE ELIZABETH SHARROCK (OWNER)
(580) 245-7044
Entity
Organization
Contact information
Practice address
1401 S LYNN LN, IDABEL, OK 74745-6859
(870) 279-3300
Mailing address
1401 S LYNN LN, IDABEL, OK 74745-6859
(870) 279-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/02/2022
Last updated
09/06/2022
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