Provider First Line Business Practice Location Address:
SHARE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALVA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-346-1468
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2005