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Individual

MR. HERBERT ROSCOE LITTLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 E DOWNING ST, STE 103, TAHLEQUAH, OK 74464
(918) 456-0001
(918) 456-6383
Mailing address
1500 E DOWNING ST, STE 103, TAHLEQUAH, OK 74464
(918) 456-0001
(918) 456-6383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1756
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060020996
RAILROAD MEDICARE
05
100144940A
OK
05
100734730A
OK
01
731117836001
BCBS
Enumeration date
06/17/2006
Last updated
03/15/2010
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