FRESH MEDICAL LLC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1740664580- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4200 CARRIAGE WAY, WEATHERFORD, OK, 730969614
- Phone
- (580) 774-2214
- Fax
- (580) 774-2843
Specialties & Taxonomies
Physician Assistant
License: OK #817
Nurse Practitioner
Primary License: OK #R0092194