Organization
PM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MCCLELLAN (MEMBER/EMPLOYEE)
(918) 413-8542
Entity
Organization
Contact information
Practice address
801 W MAIN ST STE D, STIGLER, OK 74462-2304
(918) 413-8542
Mailing address
PO BOX 161, MCCURTAIN, OK 74944-0161
(918) 413-8542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/12/2025
Last updated
05/06/2025
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