Individual provider · NPI-1

Noel W. Emerson, D.O.

Family Medicine · Atoka, OK

NPI number1801896709
StatusActive
Last updated in NPPESSep 3, 2020

Details

NPI
1801896709
Entity type
Individual (NPI-1)
Name
Noel W. Emerson
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2005
Certification date
Sep 3, 2020
Last updated
Sep 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine3521OKYes

Practice location

1510 S Virginia Ave
Atoka, OK 74525-3246

Phone 580-889-6621 · Fax 580-889-3602

Mailing address

795 S Big Ben Rd
Atoka, OK 74525-4501

Phone 580-889-6399 · Fax 580-889-6659

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