Organization · NPI-2

Muskogee Medical And Surgical Associates, LLC

Family Medicine · Muskogee, OK

NPI number1184858375

StatusActive

Last updated in NPPESOct 29, 2009

Details

NPI: 1184858375
Entity type: Organization (NPI-2)
Legal business name: Muskogee Medical And Surgical Associates, LLC
Organization subpart: No
Enumeration date: May 4, 2009
Last updated: Oct 29, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207L00000X	Anesthesiology	–	–
207V00000X	Obstetrics & Gynecology	–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
208600000X	Surgery	–	–
207X00000X	Orthopaedic Surgery	–	–

Practice location

3520 Chandler Rd
Muskogee, OK 74403-4910

Phone 918-682-0721

Mailing address

501 Corporate Centre Dr
Suite 200
Franklin, TN 37067-2659

Phone 615-764-3000

Authorized official

Daniel S. Slipkovich
Ceo
6157643000

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