DR. Therese M.b. Amigo, M.D.

NPI #1235107814 in Muskogee, Oklahoma

Provider Information

NPI Number: 1235107814
Entity Type: Individual
Name: DR. Therese M.b. Amigo, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 S YORK ST
Address 2: CCOM MEDICAL GROUP, INC.
City: Muskogee
State: Oklahoma
ZIP Code: 74403-5955
Phone: (918) 683-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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