Individual
ANNA AMARIS MADJAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(918) 434-8500
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(918) 770-6129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40965
OK
Other
Enumeration date
04/07/2020
Last updated
10/30/2025
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