Organization
ST. MARY'S REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK WALLACE (CEO)
(580) 249-3740
Entity
Organization
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 249-3622
(580) 249-3616
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(580) 249-3622
(580) 249-3616
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
05/05/2008
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