Individual provider · NPI-1

Therron Samuel Nichols, DO

Orthopaedic Surgery · Muskogee, OK

NPI number1962512830
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1962512830
Entity type
Individual (NPI-1)
Name
Mr. Therron Samuel Nichols
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2006
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery3209OKYes

Practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone 918-577-3075

Mailing address

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone 918-577-3075

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