Therron Nichols, PC
Orthopaedic Surgery in Okmulgee, OK. Organization (NPI-2).
NPI number1003097643
StatusActive
Last updated in NPPESApr 23, 2008
Details
- NPI
- 1003097643
- Entity type
- Organization (NPI-2)
- Legal business name
- Therron Nichols, PC
- Organization subpart
- No
- Enumeration date
- Nov 26, 2007
- Last updated
- Apr 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 3209 | OK | Yes |
Other names
- Therron Nichols, DO (Doing Business As)
Practice location
1201 S Belmont Ave Ste 205Okmulgee, OK 74447-6351
Phone 918-756-4291 · Fax 918-756-4869
Mailing address
1201 S Belmont Ave Ste 205Okmulgee, OK 74447-6351
Phone 918-756-4291 · Fax 918-756-4869
Authorized official
Therron S Nichols
Owner
9187568291
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