Organization
FRED M RUEFER, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED M RUEFER MD (OWNER)
(918) 682-7717
Entity
Organization
Contact information
Practice address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
(918) 682-9434
Mailing address
209 S 36TH ST, MUSKOGEE, OK 74401-5043
(918) 682-7717
(918) 682-9434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12652
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176280A
—
OK
Enumeration date
06/14/2007
Last updated
09/24/2010
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