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Organization

VASCULAR AND VEIN LASER CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY KYLE HRDLICKA (D.O.)
(918) 341-5311
Entity
Organization

Contact information

Practice address
1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
(918) 341-5311
(918) 341-7338
Mailing address
1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
(918) 341-5311
(918) 341-7338

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
8161
OK

Other

Enumeration date
09/01/2006
Last updated
08/22/2020
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