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Individual

MICHAEL R. UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8500
(918) 434-8150
Mailing address
PO BOX 913, PRYOR, OK 74362-0913
(918) 825-4299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19531
OK

Other

Enumeration date
08/19/2005
Last updated
04/17/2008
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