Individual
DR. RICHARD DAN CREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3705 W BROADWAY ST, MUSKOGEE, OK 74401-2142
(918) 687-7530
(918) 687-4019
Mailing address
3705 W BROADWAY ST, MUSKOGEE, OK 74401-2142
(918) 687-7530
(918) 687-4019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1148
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100759620 A
—
OK
Enumeration date
09/13/2006
Last updated
07/08/2007
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