Muskogee Physician Group LLC

NPI #1306208236 in Muskogee, Oklahoma

Provider Information

NPI Number: 1306208236
Entity Type: Organization
Organization Name: Muskogee Physician Group LLC
Primary Specialty: Urology
Enumeration Date: Mar 21, 2016
Last Updated: Apr 1, 2016

Practice Location

Address: 4318 W OKMULGEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4648
Phone: (918) 911-0521

Authorized Official

Name: ELIZABETH ESTEP
Title: CFO
Phone: (615) 764-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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