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NPI Verification

National Provider Identifier: 1881960771

Tahlequah Medical Group LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (5)

Internal Medicine

Code: 207R00000X

Obstetrics & Gynecology

Code: 207V00000X

Surgery

Code: 208600000X

Urology

Code: 208800000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1400 E DOWNING ST

TAHLEQUAH, OK 744643324

NPI Enumeration Date

March 26, 2012

NPI Number

1881960771

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Tahlequah Medical Group LLC - NPI 1881960771 | Provider Verification | HormoneMap