Provider First Line Business Practice Location Address:
1101 12TH AVE, NW
Provider Second Line Business Practice Location Address:
MERCY ARDMORE HOSPITAL WOUND CARE CENTER
Provider Business Practice Location Address City Name:
ARDMORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-220-6290
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007