Organization
MUSKOGEE PULMONARY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG GANG LEE MD (PRESIDENT)
(918) 687-3994
Entity
Organization
Contact information
Practice address
615 S 32ND ST, MUSKOGEE, OK 74401-5012
(918) 687-3994
(918) 687-1809
Mailing address
615 S 32ND ST, MUSKOGEE, OK 74401-5012
(918) 687-3994
(918) 687-1809
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745110A
—
OK
Enumeration date
11/01/2006
Last updated
06/26/2014
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