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Jackie Mcdaniel
NPI 1073693099 · on the registry since 2006
Practice
- Address
- 1001 N Country Club Rd
Ada, OK 74820 - Phone
- (580) 421-4570
- Fax
- (580) 421-6283
- Clinicians at this address
- 46
Registry record
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician
208100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma