Individual
MAGGIE S.W. LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 S 40TH ST, CCOM MEDICAL GROUP, MUSKOGEE, OK 74401-4915
(918) 683-0753
Mailing address
350 S 40TH ST, CCOM MEDICAL GROUP, MUSKOGEE, OK 74401-4915
(918) 683-0753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19934
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224720A
—
OK
Enumeration date
03/09/2006
Last updated
04/01/2009
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