Individual
DR. THOMAS CHILTON FRUITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 458-2406
(918) 456-8886
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 458-2406
(918) 456-8886
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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