Individual
DR. LARRY DEAN SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 WOODLAWN AVE, TAHLEQUAH, OK 74464-3318
(918) 456-8000
(918) 708-1609
Mailing address
204 WOODLAWN AVE, TAHLEQUAH, OK 74464-3318
(918) 456-8000
(918) 708-1609
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
14708
OK
Other
Enumeration date
09/22/2005
Last updated
05/12/2015
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