Organization
MIKE NELSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE H NELSON (OWNER)
(918) 682-2181
Entity
Organization
Contact information
Practice address
105 N YORK ST, MUSKOGEE, OK 74403-4657
(918) 682-2181
Mailing address
105 N YORK ST, MUSKOGEE, OK 74403-4657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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