Individual
JOHN BELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 W CHEROKEE ST, WAGONER, OK 74467-4621
(918) 485-3182
Mailing address
1103 W CHEROKEE, WAGONER, OK 74467
(918) 485-3182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30768
OK
Other
Enumeration date
06/16/2014
Last updated
07/18/2017
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