Individual provider · NPI-1

Dr. Henry G Co, M.D.

Internal Medicine · Muskogee, OK

NPI number1073581849
StatusActive
Last updated in NPPESJul 26, 2021

Details

NPI
1073581849
Entity type
Individual (NPI-1)
Name
Dr. Henry G Co
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 9, 2006
Certification date
Jul 26, 2021
Last updated
Jul 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine19359OKYes

Practice location

350 S 40th St
Muskogee, OK 74401-4915

Phone 918-683-0753 · Fax 918-683-5677

Mailing address

8115 S Memorial Dr
Tulsa, OK 74133-4331

Phone 918-254-6315 · Fax 918-403-6315

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