| Dr James Forrestal Inc | |
|
830 16th Ave Nw Ardmore OK 73401-1818 | |
| (580) 226-5120 | |
| (580) 223-1003 |
| Full Name | Dr James Forrestal Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 16th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | James Forrestal Inc (OWNER) |
| Authorized Official Contact | 5802265120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Forrestal Inc 830 16th Ave Nw Ardmore OK 73401-1818 Ph: (580) 226-5120 | Dr James Forrestal Inc 830 16th Ave Nw Ardmore OK 73401-1818 Ph: (580) 226-5120 |
| NPI Number | 1376641712 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376641712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2309 (Oklahoma) | Primary |
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