Unknown Individual – Family Medicine Physician, NPI 1992702724
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 1610
DURANT, OK 747021610
Phone: (580) 924-3400
Fax: (580) 924-2000
Type: Mailing
1610, West University Boulevard, Durant, Bryan County, Oklahoma, 74701, United States
DURANT, OK 747013045
Phone: (580) 924-3400
Fax: (580) 924-2000
Type: Location
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 74702)
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