PRIMARY CARE OF ADA, LLC

ADA, OK
NPI1851744312
Entity TypeOrganization
Authorized ContactRANDI IVY
Credentialing Specialist
580-272-0485
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2016-07-20
Last Update Date2021-12-23
Business Address
PRIMARY CARE OF ADA, LLC
1705 CRADDUCK RD
ADA, OK 74820-9491
Phone number: 580-279-6313
Mailing Address
PRIMARY CARE OF ADA, LLC
1705 CRADDUCK RD STE B
ADA, OK 74820-9491
Phone number:
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