Organization
WARD AND HALL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE MCINTIRE CPOA (CLINIC ADMINISTRATOR)
(918) 756-0316
Entity
Organization
Contact information
Practice address
11920 S MEMORIAL DR, BIXBY, OK 74008-2170
(918) 369-3937
(918) 369-3945
Mailing address
PO BOX 520, OKMULGEE, OK 74447-0520
(918) 756-0316
(918) 756-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748120D
—
OK
Enumeration date
07/31/2006
Last updated
12/04/2024
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