Unknown Individual – Urology Physician, NPI 1366478406
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
731, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
SUITE 103
ARDMORE, OK 734015761
Phone: (580) 226-8310
Fax: (580) 223-3911
Type: Location
Ardmore Post Office, 30, Ardmore Avenue, Hamilton Court, Haverford, Ardmore, Lower Merion Township, Montgomery County, Pennsylvania, 19003, United States
ARDMORE, OK 734021429
Phone: (580) 226-8310
Fax: (580) 223-3911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73401)
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