Organization · Type 2 NPI

St. Madron Medical Clinic

Specialist · Roland, OK

NPI number 1285068791 Active

Practice location

205 E. Ray Fine Blvd St. 6
Roland, OK 74954

Fax (918) 398-0637

Mailing address

303 Towson Ave.
Fort Smith, AR 72901

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17754 (OK)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1285068791

St. Madron Medical Clinic's National Provider Identifier is 1285068791, issued on Sep 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roland, OK. The record was last updated on Aug 6, 2015.