PROACTIVE MD OK LLC is a primary care clinic center in Woodward, OK. PROACTIVE MD OK LLC NPI is 1558034082. The provider is registered as an organization entity type.
The provider's business location address is:
1000 TERRA DR
WOODWARD, OK
ZIP 73801-596
Phone: (580) 290-1810
The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Ops Mgr and has the following contact phone number (864) 501-0751.
The CLIA number assigned to this NPI record is 37D2232710 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/30/2021 and was last updated on 7/30/2021.