Provider Demographics
NPI:1720197650
Name:MCFARLANE, ANGUS
Entity Type:Individual
Prefix:
First Name:ANGUS
Middle Name:
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ARLINGTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2822
Mailing Address - Country:US
Mailing Address - Phone:580-332-5124
Mailing Address - Fax:
Practice Address - Street 1:2020 ARLINGTON ST STE 1
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2822
Practice Address - Country:US
Practice Address - Phone:580-332-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK33225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist