Individual
DR. GEORGE SHAKER COHLMIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1373 E BOONE ST, SUITE 3400, TAHLEQUAH, OK 74464-3364
(918) 456-9500
(918) 456-9569
Mailing address
2448 E 81ST ST, SUITE 5100, TULSA, OK 74137-4248
(918) 584-2500
(918) 584-4634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15023
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100197620A
—
OK
Enumeration date
06/14/2006
Last updated
03/12/2015
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