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Individual

DR. LORETTA A FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8787 N OWASSO EXPY STE J, OWASSO, OK 74055-4482
(918) 516-2296
(918) 516-2801
Mailing address
616 S. 17TH STREET, FORT SMITH, AR 72901
(479) 434-3333
(479) 434-3535

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18464
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100015270A
OK
Enumeration date
07/04/2006
Last updated
05/21/2021
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