Organization
JOHN V TEDESCO DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN V TEDESCO DO (OWNER)
(918) 913-9513
Entity
Organization
Contact information
Practice address
209 S 36TH ST, SUITE A, MUSKOGEE, OK 74401-5043
(918) 913-9513
(918) 913-9515
Mailing address
209 S 36TH ST, SUITE A, MUSKOGEE, OK 74401-5043
(918) 913-9513
(918) 913-9515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OK
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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