Organization
MUSKOGEE ALLERGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN DEAN COLE DO (MANAGING PHYSICIAN)
(019) 682-1425
Entity
Organization
Contact information
Practice address
3316 WEST OKMULGEE STREET, MUSKOGEE, OK 74401
(918) 682-1425
(918) 682-0615
Mailing address
3316 WEST OKMULGEE STREET, MUSKOGEE, OK 74401
(918) 682-1425
(918) 682-0615
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
3158
OK
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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