Individual
DR. ADAM WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
14352 E 550 RD, INOLA, OK 74036-5176
(918) 557-4311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15000
OK
207Q00000X
Family Medicine Physician
Primary
8614
OK
Other
Enumeration date
04/10/2021
Last updated
08/01/2024
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