Unknown Individual – Specialist, NPI 1821092164
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 2367
MUSKOGEE, OK 744022367
Phone: (918) 683-1873
Fax: (918) 682-3639
Type: Mailing
West Broadway Street, Muskogee, Muskogee County, Oklahoma, 74401, United States
MUSKOGEE, OK 744012134
Phone: (918) 683-1873
Fax: (918) 682-3639
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74402)
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