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Organization
FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC
Active
Organization
FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. ROBISON M.D. (OWNER)
(918) 683-8100
Entity
Organization
Contact information
Practice address
3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
(918) 681-3333
(918) 681-3336
Mailing address
3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
(918) 681-3333
(918) 681-3336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446187037001
BCBS OF OKLAHOMA
—
01
—
P00011976
RAILROAD MEDICARE
—
Enumeration date
09/11/2007
Last updated
10/27/2010
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