Three Forks Emergency Physicians

NPI #1659646172 in Muskogee, Oklahoma

Provider Information

NPI Number: 1659646172
Entity Type: Organization
Organization Name: Three Forks Emergency Physicians
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 16, 2012
Last Updated: Mar 7, 2014

Practice Location

Address: 300 ROCKEFELLER DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-5075
Phone: (918) 682-5501

Authorized Official

Name: ROSS RONAN II
Title: VICE PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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