Individual
SARAH MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
(580) 924-1991
Mailing address
1600 W UNIVERSITY BLVD, DURANT, OK 74701-3094
(580) 924-5500
(580) 924-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0419R
OK
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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