Organization
MUSKOGEE PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ESTEP (CFO)
(615) 764-3000
Entity
Organization
Contact information
Practice address
4318 W OKMULGEE ST, MUSKOGEE, OK 74401-4648
(918) 911-0521
(918) 910-5209
Mailing address
4318 W OKMULGEE ST, MUSKOGEE, OK 74401-4648
(918) 911-0521
(918) 910-5209
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
04/01/2016
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