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Organization
MUSKOGEE MEDICAL AND SURGICAL ASSOCIATES, LLC
Active
Organization
MUSKOGEE MEDICAL AND SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S. SLIPKOVICH (CEO)
(615) 764-3000
Entity
Organization
Contact information
Practice address
3520 CHANDLER RD, MUSKOGEE, OK 74403-4910
(918) 682-0721
Mailing address
501 CORPORATE CENTRE DR, SUITE 200, FRANKLIN, TN 37067-2659
(615) 764-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
05/04/2009
Last updated
10/29/2009
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