Individual
DR. JAMES GIBSON MAHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
119 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-3621
(918) 456-3552
(918) 458-0402
Mailing address
119 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-3621
(918) 456-3552
(918) 458-0402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1006
OK
Other
Enumeration date
05/30/2006
Last updated
02/12/2008
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