Individual
DWAYNE H ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
05
—
100180620A
—
OK
Enumeration date
08/01/2006
Last updated
12/02/2016
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