| NPI | 1265451686 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP CORDELL FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CFO 5820-357-9984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 14008) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-05-08 |