Organization
FIRSTCARE MEDICAL CLINIC OF MUSKOGEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D. ROBISON M.D. (OWNER)
(918) 683-8100
Entity
Organization
Contact information
Practice address
3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
(918) 681-3333
(918) 681-3336
Mailing address
3300 CHANDLER RD, SUITE 105, MUSKOGEE, OK 74403-4957
(918) 681-3333
(918) 681-3336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446187037001
BCBS OF OKLAHOMA
—
01
—
P00011976
RAILROAD MEDICARE
—
Enumeration date
09/11/2007
Last updated
10/27/2010
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