Organization
ORTHOPEDIC CENTER OF MUSKOGEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT FOREST KIRK DO (DOCTOR)
(918) 686-6600
Entity
Organization
Contact information
Practice address
3900 WEST BROADWAY, MUSKOGEE, OK 74401
(918) 686-6600
(918) 686-6601
Mailing address
3900 WEST BROADWAY, MUSKOGEE, OK 74401
(918) 686-6600
(918) 686-6601
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00007143
RAILROAD MEDICARE
OK
Enumeration date
11/17/2006
Last updated
04/16/2008
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