Organization
CHILDREN'S CLINIC OF MUSKOGEE, LLC
Active
Other names
Children's Clinic of Muskogee, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY DAVID WHATLEY MD (OWNER)
(918) 687-4411
Entity
Organization
Contact information
Practice address
3101 CHANDLER RD STE 101, MUSKOGEE, OK 74403-4955
(918) 687-4411
(918) 687-4448
Mailing address
3101 CHANDLER RD STE 101, MUSKOGEE, OK 74403-4955
(918) 687-4411
(918) 687-4448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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