Advanced Urology and Wellness Center of Muskogee Pllc

NPI #1972796274 in Muskogee, Oklahoma

Provider Information

NPI Number: 1972796274
Entity Type: Organization
Organization Name: Advanced Urology and Wellness Center of Muskogee Pllc
Primary Specialty: Specialist
Enumeration Date: Aug 21, 2007
Last Updated: Apr 16, 2013

Practice Location

Address: 4200 W OKMULGEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4646
Phone: (918) 683-5025

Authorized Official

Name: DR. JEWELL LEE DANIELS JR., MD
Title: DIRECTOR
Phone: (918) 683-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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