Individual
PETER WERNER ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
900 E AIRPORT ROAD, OKMULGEE, OK 74447
(918) 756-9211
(918) 756-9452
Mailing address
PO BOX 1118, OKMULGEE, OK 74447-1118
(918) 756-9211
(918) 756-9452
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000127
OK
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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