Triad Complete Healthcare A07

NPI #1063118529 in Muskogee, Oklahoma

Provider Information

NPI Number: 1063118529
Entity Type: Organization
Organization Name: Triad Complete Healthcare A07
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2023
Last Updated: Feb 7, 2023

Practice Location

Address: 3013 AZALEA PARK DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-2285
Phone: (918) 691-8391

Authorized Official

Name: NIKI SYKORA
Title: OWNER
Phone: (918) 691-8391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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