Muskogee Medical Group Pllc

NPI #1316072747 in Muskogee, Oklahoma

Provider Information

NPI Number: 1316072747
Entity Type: Organization
Organization Name: Muskogee Medical Group Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 23, 2007
Last Updated: Feb 11, 2010

Practice Location

Address: 200 S 37TH ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4928
Phone: (918) 683-8100

Authorized Official

Name: GINA WALKER
Title: BUSINESS MANAGER
Phone: (918) 683-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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