Organization
MEDSTAFFPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WOODS (CHIEF EXECUTIVE OFFICER)
(918) 779-7428
Entity
Organization
Contact information
Practice address
516 N MAIN ST, MUSKOGEE, OK 74401-6345
(918) 683-4000
(404) 494-7537
Mailing address
4500 S 129TH EAST AVE, STE 191, TULSA, OK 74134-5801
(918) 779-7900
(918) 779-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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