Organization
PREMIER PEDIATRIC AND ADOLESCENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HOOS DO (OWNER)
(918) 816-4024
Entity
Organization
Contact information
Practice address
2009 N MAIN ST, MUSKOGEE, OK 74401
(918) 816-4024
(918) 816-4025
Mailing address
2009 N MAIN ST, MUSKOGEE, OK 74401
(918) 816-4024
(918) 816-4025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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