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Contact Information

GENESIS MEDICAL PLLC
2002 12TH AVE NW STE B
ARDMORE, OK73401-1206
 Phone: 580-221-2022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GENESIS MEDICAL PLLC · (Female)

NPI Number 1285434233
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2025
Last updated 03/24/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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