Individual
CRAIG MICHAEL COUVILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 N MAIN ST, KINGSTON, OK 73439-6562
(580) 564-7885
(580) 564-7902
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-3614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26345
OK
Other
Enumeration date
06/11/2008
Last updated
10/31/2022
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