# MUSKOGEE MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1760651756
- **Authorized official:** MR. CHRIS WHYBREW (ADMINISTRATOR)
- **Authorized official phone:** (918) 382-5501

## Contact information

- **Practice address:** 300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
- **Practice address phone:** (918) 382-5501
- **Practice address fax:** (918) 684-2552
- **Mailing address:** 300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
- **Mailing address phone:** (918) 382-5501
- **Mailing address fax:** (918) 684-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 33704 | OK | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 02/25/2008