Organization
NEUROPATHY TREATMENTS OF MCALESTER, LLC
Active
Organization
NEUROPATHY TREATMENTS OF MCALESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BAHE (MANAGING MEMBER)
(918) 426-6005
Entity
Organization
Contact information
Practice address
320 E CARL ALBERT PKWY # D1, MCALESTER, OK 74501-5061
(918) 426-6005
Mailing address
320 E CARL ALBERT PKWY # B1, MCALESTER, OK 74501-5061
(918) 426-6005
(918) 426-6022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748320A
—
OK
Enumeration date
12/17/2018
Last updated
10/08/2019
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