Organization
OKMULGEE PEDIATRICS
Active
Other names
Okmulgee Pediatrics & Family Care, L.L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
NAILA PAUL MD (OWNER)
(918) 756-8371
Entity
Organization
Contact information
Practice address
916 E 8TH ST, OKMULGEE, OK 74447-4724
(918) 756-8371
(918) 758-3437
Mailing address
916 E 8TH ST, OKMULGEE, OK 74447-4724
(918) 756-8371
(918) 758-3437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10783
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708210C
—
OK
Enumeration date
12/20/2007
Last updated
07/06/2022
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