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Southward Family Medicine
Primary Care Clinic/Center in Ardmore, Oklahoma
NPI 1962510032

Southward Family Medicine is a Primary Care Clinic/Center based in Ardmore, OK and is specialized in Primary Care. Southward Family Medicine practices in Ardmore, OK. The NPI Number for Southward Family Medicine is 1962510032 and holds a License No. 21988 (Oklahoma).

The current practice location address for Southward Family Medicine is 1111 Walnut Dr, Ardmore, OK and can be reached out via phone at 580-223-9008 and via fax at 580-223-9114.

Location: 1111 Walnut Dr, Ardmore, OK, 73401-2354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962510032
Provider Name
Southward Family Medicine
Credential
Provider Entity Type
Organization
Address
1111 Walnut Dr, Ardmore, OK, 73401-2354
Phone Number
580-223-9008
Fax Number
580-223-9114
Provider Enumeration Date
08/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
442785229-001 05 OK
institution
Provider Business Practice Location Address Details
Address
1111 Walnut Dr
City
Ardmore
State
Oklahoma
Zip
73401-2354
Phone Number
580-223-9008
Fax Number
580-223-9114
person
Provider Business Mailing Address Details
Address
1111 Walnut Dr
City
Ardmore
State
Oklahoma
Zip
73401-2354
Phone Number
580-223-9008
Fax Number
580-223-9114
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
21988 (Oklahoma)
Definition
Definition to come...
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