Individual
DR. ADEL GEORGE KYROLLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CCOM MEDICAL GROUP, INC., 350 S. 40TH STREET, MUSKOGEE, OK 74401
(918) 683-0753
Mailing address
CCOM MEDICAL GROUP, INC., 350 S. 40TH STREET, MUSKOGEE, OK 74401
(918) 683-0753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21108
MEDICAL LICENSE
OH
Enumeration date
06/26/2006
Last updated
07/09/2007
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