Children's Clinic of Muskogee, LLC

NPI #1124809918 in Muskogee, Oklahoma

Provider Information

NPI Number: 1124809918
Entity Type: Organization
Organization Name: Children's Clinic of Muskogee, LLC
Primary Specialty: Pediatrics
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 3101 CHANDLER RD STE 101
City: Muskogee
State: Oklahoma
ZIP Code: 74403-4955
Phone: (918) 687-4411

Authorized Official

Name: DR. JERRY DAVID WHATLEY, MD
Title: OWNER
Phone: (918) 687-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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