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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 17754 (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.