| Doctor Name: | JOHN H TATOM |
| NPI Number: | 1073702221 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 7333 |
| Business Practice Address: | 1113 W Broadway Ave Sulphur, OK - 730864413 |
| Business Phone Number: | 5806226644 |
| Business Fax Number: | 5806225061 |
| Mailing Address: | Po Box 30, SULPHUR |
| State: | OK |
| Postal Code: | 730860030 |
| Phone Number: | 5806226644 |
| Fax Number: | 5806225061 |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 03/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |