ADULT MEDICINE SPECIALIST OF CANADIAN VALLEY, P.L.C

YUKON, OK
NPI1659371656
Entity TypeOrganization
Authorized ContactGLEN D HYDE
Provider/Owner
405-354-2118
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2005-08-01
Last Update Date2022-07-21
Business Address
ADULT MEDICINE SPECIALIST OF CANADIAN VALLEY, P.L.C
1608 PROFESSIONAL CIRCLE
YUKON, OK 73099
Phone number: 405-354-2118
Mailing Address
ADULT MEDICINE SPECIALIST OF CANADIAN VALLEY, P.L.C
PO BOX 851100 DEPT 200
YUKON, OK 73085
Phone number: 405-354-2118
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