Organization
EEG CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD EARL GOLDMAN MD (PRESIDENT)
(918) 743-4799
Entity
Organization
Contact information
Practice address
1400 E DOWNING, TAHLEQUAH, OK 74465
(918) 743-4799
(918) 743-4167
Mailing address
PO BOX 54603, EEG CORPORATION HAROLD E GOLDMAN, TULSA, OK 74155-0603
(918) 743-4799
(918) 743-4167
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
7148
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028207163003
OK BCBS
OK
01
—
046046
KS BCBS
KS
Enumeration date
11/08/2006
Last updated
08/22/2020
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