Organization
MUSKOGEE DIGESTIVE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJAY K SANGAL MD (OWNER)
(918) 682-0700
Entity
Organization
Contact information
Practice address
384 S 33RD ST, SUITE B, MUSKOGEE, OK 74401-5065
(918) 682-0700
(918) 682-7317
Mailing address
384 S 33RD ST, SUITE B, MUSKOGEE, OK 74401-5065
(918) 682-0700
(918) 682-7317
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744750A
—
OK
Enumeration date
11/30/2005
Last updated
08/03/2012
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