Unknown Individual – Family Medicine Physician, NPI 1376570887
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
350, South 40th Street, Muskogee, Muskogee County, Oklahoma, 74401, United States
MUSKOGEE, OK 744014915
Phone: (918) 683-0753
Fax: (918) 683-5677
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74401)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Emergency Medicine, General Surgery | AR | |
| Family Practice, General Practice | AR | |
| General Surgery | AR | |
| Nurse Practitioner | AR | |
| Family Practice, General Practice | AR | |
| Certified Clinical Nurse Specialist (Cns) | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
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