Organization
MUSKOGEE PHYSICIAN GROUP LLC
Active
Organization
MUSKOGEE PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROBERTS (BILLING MANAGER)
(615) 620-2321
Entity
Organization
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(615) 620-2320
(615) 620-2323
Mailing address
PO BOX 840633, DALLAS, TX 75284-0633
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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