Roland Primary Care Clinic LLC

Organization General Practice Physician · NPI 1053730903

Roland Primary Care Clinic LLC provides General Practice Physician services in Roland, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in: OK
In the registry since: 2014

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 E Ray Fine Blvd
Roland, OK 74954-5160 Not confirmed with CMS for 12 years — call before visiting
Phone: (918) 503-6276
Fax: (941) 850-3627

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary)	Taxonomy 208D00000X (OK)

Record details

NPI number	1053730903
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Frederick Fuoco — President · (918) 503-6276
NPI enumerated	April 8, 2014
Last updated in NPPES	April 8, 2014
Mailing address	309 E Ray Fine Blvd, Roland, OK 74954-5160