Organization
MUSKOGEE MEDICAL AND SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S. SLIPKOVICH (CEO)
(615) 764-3000
Entity
Organization
Contact information
Practice address
3520 CHANDLER RD, MUSKOGEE, OK 74403-4910
(918) 682-0721
Mailing address
501 CORPORATE CENTRE DR, SUITE 200, FRANKLIN, TN 37067-2659
(615) 764-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKB5634
MEDICARE GRP
OK
Enumeration date
05/04/2009
Last updated
10/29/2009
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