Organization
PHYSICIAN'S MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD G SEAL D.O. (OWNER)
(580) 336-3511
Entity
Organization
Contact information
Practice address
1412 FIR ST, PERRY, OK 73077-5036
(580) 336-3511
(580) 336-5199
Mailing address
1412 FIR ST, PERRY, OK 73077-5036
(580) 336-3511
(580) 336-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2113
OK
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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