Organization
OKLAHOMA WEST PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARSHALL HUSER III M.D. (OWNER)
(580) 772-3331
Entity
Organization
Contact information
Practice address
3725 LEGACY ST, WEATHERFORD, OK 73096-5329
(580) 772-3331
(580) 774-1451
Mailing address
3725 LEGACY ST, WEATHERFORD, OK 73096
(580) 772-3331
(580) 774-1451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252270A
—
OK
05
—
100745110B
—
OK
Enumeration date
11/14/2007
Last updated
12/03/2008
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