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Organization

TRITON EMERGENCY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAROLD NATHANIAL CLAVER D.O. (OWNER)
(918) 520-6854
Entity
Organization

Contact information

Practice address
3316 ELMO WAY, MOORE, OK 73160-2380
(918) 520-6854
Mailing address
3316 ELMO WAY, MOORE, OK 73160-2380
(918) 520-6854

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
12/05/2010
Last updated
12/05/2010
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