NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1114982527 |   |   |   | MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC | 921 14TH AVE NW | ARDMORE | OK | 734011837 |
1457331175 |   |   |   | MEDICAL ARTS CLINIC OF ARDMORE INC | 921 14TH AVE NW | ARDMORE | OK | 734011837 |
1679595144 | ELLIS | BOBBY | J |   | 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 731341785 |
1235176629 | GAUTHIER | WILFRED | S |   | 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 731341785 |
1376703595 | KIRBY | SUMMER |   |   | 921 14TH AVE NW | ARDMORE | OK | 734011837 |
1487854642 | LANDIS | DEREK | TODD |   | 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 731341785 |
1194779975 | VELASQUEZ | TORIBIO | C |   | 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 731341785 |
1932448347 | WAGNER | JERAD | SCOTT |   | 921 14TH AVE NW | ARDMORE | OK | 734011837 |
1306889878 | WALKER | SALLIE | J |   | 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 731341785 |