Organization
SURGICAL CONSULTANTS OF MUSKOGEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA WALKER (BUSINESS MANAGER)
(918) 683-8100
Entity
Organization
Contact information
Practice address
200 S 37TH ST, MUSKOGEE, OK 74401-4928
(918) 683-8100
(918) 683-8198
Mailing address
200 S 37TH ST, MUSKOGEE, OK 74401-4928
(918) 683-8100
(918) 683-8198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18093
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004600A
—
OK
Enumeration date
02/23/2007
Last updated
02/11/2010
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