PROACTIVE MD OK, LLC

CLAREMORE, OK
NPI1649943176
Entity TypeOrganization
Authorized ContactJAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2021-07-30
Last Update Date2021-07-30
Business Address
PROACTIVE MD OK, LLC
6606 E 540 RD
CLAREMORE, OK 74019-2534
Phone number: 918-965-0220
Mailing Address
PROACTIVE MD OK, LLC
10 CENTIMETERS DR
MAULDIN, SC 29662-3278
Phone number: 864-501-0751
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