| NPI | 1124809918 |
|---|---|
| Doing Business As | CHILDREN'S CLINIC OF MUSKOGEE, LLC |
| Entity Type | Organization |
| Authorized Contact | JERRY DAVID WHATLEY Owner 918-687-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |