Organization
MUSUMA HEALTH CARE AND MEDICAL SPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMMIE CALDWELL-WATKINS MD (VICE PRESIDENT)
(918) 964-7071
Entity
Organization
Contact information
Practice address
2104 S MAIN ST, GROVE, OK 74344-5356
(918) 964-7071
(918) 964-7072
Mailing address
2084 S MAIN ST STE A-8, GROVE, OK 74344-5325
(918) 964-7071
(918) 964-7072
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
06/27/2023
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