Organization
RENAL AND HYPERTENSION INSTITUTE OF NORTHEAST OKLAHOMA
Active
Organization
RENAL AND HYPERTENSION INSTITUTE OF NORTHEAST OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN WOODLIFF (BOARD OF MANAGERS)
(918) 453-2263
Entity
Organization
Contact information
Practice address
1607 S MUSKOGEE AVE, SUITE A, TAHLEQUAH, OK 74464-5440
(918) 453-2121
Mailing address
PO BOX 1008, TAHLEQUAH, OK 74465-1008
(918) 453-2121
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
09/10/2008
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