Unknown Individual – Emergency Medicine Physician, NPI 1396827754
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 970
WAGONER, OK 74477
Phone: (918) 369-9555
Fax: (918) 369-9556
Type: Mailing
West Will Rogers Boulevard, Claremore, Rogers County, Oklahoma, 74017, United States
CLAREMORE, OK 74017
Phone: (918) 343-6000
Fax: (918) 343-6251
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74477)
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