Organization
OKIE STATE EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
2900 N MAIN ST, MUSKOGEE, OK 74401-4078
(973) 251-1132
Mailing address
350 W CEDAR ST, 4TH FLOOR, PENSACOLA, FL 32502-4910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
OK
Other
Enumeration date
03/03/2010
Last updated
12/06/2019
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