Organization
DWAYNE H ATWELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI L JONES (INSURANCE CLERK)
(918) 683-0121
Entity
Organization
Contact information
Practice address
251 SOUTH 37TH STREET, MUSKOGEE, OK 74401-4919
(918) 683-0121
(918) 683-6650
Mailing address
251 SOUTH 37TH STREET, MUSKOGEE, OK 74401-4919
(918) 683-0121
(918) 683-6650
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16851
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004110411
AETNA
OK
01
—
040004806
UNITED HEALTHCARE
OK
05
—
100180620A
—
OK
01
—
300522334
MEDICARE GROUP
OK
01
—
491607790001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
07/12/2007
Last updated
06/16/2008
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