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Organization

ENTRUST DPC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA E MCEACHERN DO (PRESIDENT/MEDICAL DIRECTOR)
(580) 227-8647
Entity
Organization

Contact information

Practice address
917 N MAIN ST, FAIRVIEW, OK 73737-1005
(580) 227-8647
(580) 603-8602
Mailing address
917 N MAIN ST, FAIRVIEW, OK 73737-1005
(580) 227-8647
(580) 603-8602

Taxonomy

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

Other

Enumeration date
01/11/2022
Last updated
10/31/2025
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