ADA GYNECOLOGY & OBSTETRICS
Managed Care Organizations at Arlington St, Ada, OK

License number
Oklahoma 8279
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. JIMMY B WALLACE M.D.
Title: OWNER
Phone: (580) 436-9088
Address
Address
1414 Arlington St STE 1700, Ada, OK 74820
National Provider ID: 1881717544
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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