# SMH PHYSICIAN GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497093959
- **Authorized official:** DEBRA R. KNOKE (CEO)
- **Authorized official phone:** (918) 774-1100

## Contact information

- **Practice address:** 213 E REDWOOD AVE, SALLISAW, OK 74955-2811
- **Practice address phone:** (918) 774-1100
- **Practice address fax:** (918) 774-1103
- **Mailing address:** 213 E REDWOOD AVE, SALLISAW, OK 74955-2811
- **Mailing address phone:** (918) 774-1100
- **Mailing address fax:** (918) 774-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 2189 | OK | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 10/12/2015