Organization Name: | MUSKOGEE REGIONAL MEDICAL CENTER |
NPI Number: | 1700090040 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL S. SLIPKOVICH (CEO) |
Mailing Address: | 3520 Chandler Rd. Muskogee |
State: | OK US |
Postal Code: | 744034910 |
Phone Number: | 9186820721 |
Fax Number: | 9186833265 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |