Individual
DR. HENRY G CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Mailing address
8115 S MEMORIAL DR, TULSA, OK 74133-4331
(918) 254-6315
(918) 403-6315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19359
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030050A
—
OK
Enumeration date
03/09/2006
Last updated
07/26/2021
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