| NPI | 1306387949 |
|---|---|
| Doing Business As | TAHLEQUAH MEDICAL GROUP PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JULIE WARD CFO 918-453-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-05-18 |