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Self Provider Group

SELF PROVIDER GROUP official legal name SELF PROVIDER GROUP is located at 410 4TH ST, Alva, Oklahoma. SELF PROVIDER GROUP primary taxonomy is Internal Medicine in the state of Oklahoma.

Organization Legal NameSELF PROVIDER GROUP
NPI1134387855
CityAlva
StateOklahoma
Address 1410 4TH ST
Address 2STE G
Postal Code73717
Phone5803275442
Fax5803272207

Related medical specializations

Taxonomy IDGroupingClassificationSpecialization
207R00000X Allopathic & Osteopathic PhysiciansInternal Medicine

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