NPI 1073693099

Jackie McDaniel

Practitioner Physical Medicine & Rehabilitation Physician Ada, OK

Practice location

Address: 1001 N Country Club Rd, Ada, OK 74820-2847
Phone: (580) 421-4570
Fax: (580) 421-6283

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 1265 (OK)

Other Physical Medicine & Rehabilitation providers in Oklahoma →

Registry record

NPI: 1073693099
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 23 Jul 2007

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.