OrganizationActive
Canadian Valley Clinic Inc
NPI 1700956240 · General Practice Physician · El Reno, OK
Provider details
- NPI number
- 1700956240
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dianne Walde, Secretary(405) 262-2114
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 Parkview Dr
El Reno, OK 73036-2107
Phone: (405) 262-2114
Fax: (405) 262-2306
Street-level locationGet directions
Mailing address
2001 Parkview Dr
El Reno, OK 73036-2107
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2011-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.