Organization
SMH PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA R. KNOKE (CEO)
(918) 774-1100
Entity
Organization
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Mailing address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2189
OK
Other
Enumeration date
01/17/2013
Last updated
10/12/2015
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