| NPI | 1568976991 |
|---|---|
| Doing Business As | MUSKOGEE HEALTH CENTER WEST |
| Entity Type | Organization |
| Authorized Contact | MARCUS DEON JOHNSON Qi 918-483-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-20 |