Organization
OKMULGEE PEDIATRICS PC
Active
Organization
OKMULGEE PEDIATRICS PC
Active
Other names
Okmulgee Pediatrics & Family Care, L.L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE WILSON (OFFICE MANAGER)
(918) 756-8371
Entity
Organization
Contact information
Practice address
916 E 8TH ST, OKMULGEE, OK 74447-4724
(918) 756-8371
(918) 758-3437
Mailing address
916 E 8TH ST, OKMULGEE, OK 74447-4724
(918) 756-8371
(918) 758-3437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708210B
—
OK
Enumeration date
10/19/2006
Last updated
01/18/2024
Update your record
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