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Individual

JOHN H TATOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1113 W BROADWAY AVE, SULPHUR, OK 73086-4413
(580) 622-6644
(580) 622-5061
Mailing address
PO BOX 30, SULPHUR, OK 73086-0030
(580) 622-6644
(580) 622-5061

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7333
OK

Other

Enumeration date
10/23/2007
Last updated
03/26/2008
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