Individual
DR. HAROLD L DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21008
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121008
—
OK
Enumeration date
10/03/2005
Last updated
02/11/2010
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