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Genesis Medical PLLC — NPI 1285434233, Ardmore, OK | NPI Central

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Genesis Medical PLLC

NPI 1285434233 · Pain Medicine (Anesthesiology) Physician · Ardmore, OK

Provider details

NPI number: 1285434233
Entity type: Organization
Primary specialty: Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Sherry Clark, Billing/Credentialing(580) 223-5180

Specialties & taxonomies

Pain Medicine (Anesthesiology) PhysicianPrimary207LP2900X
Allopathic & Osteopathic Physicians

Practice location

2002 12th Ave Nw Ste B

Ardmore, OK 73401-1206

Phone: (580) 221-2022

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

2002 12th Ave Nw Ste B

Ardmore, OK 73401-1206

Other names (DBA / former)

Doing business as: Genesis Medical PLLC
Other name: Southern Oklahoma Bone & Joint P C

Registry dates

Enumerated: 2025-03-18
Last updated: 2025-03-24
Certified: 2025-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.