Organization
NATIVE WOUND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA W FORREST (CEO)
(918) 805-4885
Entity
Organization
Contact information
Practice address
201 S 36TH ST, MUSKOGEE, OK 74401-5079
(918) 600-2701
(539) 390-3009
Mailing address
201 S 36TH ST, MUSKOGEE, OK 74401-5079
(918) 600-2701
(539) 390-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201275340A
—
OK
Enumeration date
12/12/2022
Last updated
11/03/2025
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