Healthcare Provider Details

I. General information

NPI: 1689799793
Provider Name (Legal Business Name): CYNTHIA CAROL ALMOND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 EAST RAY FINE BLVD
ROLAND OK
74954
US

IV. Provider business mailing address

309 E RAY FINE BLVD
ROLAND OK
74954-5160
US

V. Phone/Fax

Practice location:
  • Phone: 918-503-6232
  • Fax: 918-503-6294
Mailing address:
  • Phone: 918-503-6232
  • Fax: 918-503-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberAR C-5556
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: