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Individual

DR. THOMAS BARCLEY ATKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12455 E 100TH ST N STE 220, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312
Mailing address
12455 E 100TH ST N STE 220, OWASSO, OK 74055-4675
(918) 274-5510
(918) 403-6312

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21702
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100169890F
OK
05
200224830A
OK
Enumeration date
09/20/2005
Last updated
12/12/2024
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