Individual
DONNA L SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1323 E DOWNING ST, TAHLEQUAH, OK 74464-3368
(918) 456-1009
(918) 456-1025
Mailing address
1323 E DOWNING ST, TAHLEQUAH, OK 74464-3368
(918) 456-1009
(918) 456-1025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2727
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113570A
—
OK
Enumeration date
08/04/2006
Last updated
07/08/2007
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