Individual
DR. THOMAS HAROLD CONKLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
109 W MAIN ST, STIGLER, OK 74462-2325
(918) 967-2130
(918) 967-2461
Mailing address
PO BOX 609, STIGLER, OK 74462-0609
(918) 967-2130
(918) 967-2461
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
1552
OK
Other
Enumeration date
11/09/2005
Last updated
10/14/2011
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