Organization · NPI-2

Advanced Healthcare Solutions LLC

Family Medicine · Muskogee, OK

NPI number1356645618
StatusActive
Last updated in NPPESDec 30, 2010

Details

NPI
1356645618
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare Solutions LLC
Organization subpart
No
Enumeration date
Dec 30, 2010
Last updated
Dec 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine15215OKYes

Practice location

3900 W Broadway St
Muskogee, OK 74401-2145

Phone 918-682-8612 · Fax 918-682-0620

Mailing address

3900 W Broadway St
Muskogee, OK 74401-2145

Phone 918-682-8612 · Fax 918-682-0620

Authorized official

Michael Hammond
Physician/Owner
9186828612

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