Organization
THOMAS W. SALYER, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W. SALYER D.O. (PRESIDENT)
(580) 286-3993
Entity
Organization
Contact information
Practice address
1302 S LYNN LN, IDABEL, OK 74745-6860
(580) 286-3993
Mailing address
1302 S LYNN LN, IDABEL, OK 74745-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3118
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263110784002
BC/BS GRP #
OK
Enumeration date
11/03/2006
Last updated
09/06/2007
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