John V Tedesco Do PA

NPI #1164767018 in Muskogee, Oklahoma

Provider Information

NPI Number: 1164767018
Entity Type: Organization
Organization Name: John V Tedesco Do PA
Primary Specialty: Surgery
Enumeration Date: Dec 4, 2012
Last Updated: Dec 4, 2012

Practice Location

Address: 209 S 36TH ST
Address 2: SUITE A
City: Muskogee
State: Oklahoma
ZIP Code: 74401-5043
Phone: (918) 913-9513

Authorized Official

Name: JOHN V TEDESCO, DO
Title: OWNER
Phone: (918) 913-9513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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