Organization · Type 2 NPI
Main Street Family Medical, LLC
Primary Care Clinic/Center · Spiro, OK
NPI number
1952025249
Active
Practice location
701 W Broadway St
Spiro, OK 74959-2456
Fax (918) 962-8027
Mailing address
32415 Peach Creek Rd
Red Oak, OK 74563-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1952025249
Main Street Family Medical, LLC's National Provider Identifier is 1952025249, issued on Sep 29, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Spiro, OK. The record was last updated on Sep 7, 2023.