NPI 1053730903

Roland Primary Care Clinic LLC

Organisation General Practice Physician Roland, OK

Practice location

Address: 309 E Ray Fine Blvd, Roland, OK 74954-5160
Phone: (918) 503-6276
Fax: (941) 850-3627

Authorised official

Name: Frederick J Fuoco
Title: President
Phone: (918) 503-6276

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oklahoma →

Registry record

NPI: 1053730903
Entity type: Organization
NPI issued: 8 Apr 2014
Record last updated: 8 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.