NPI | 1700090040 |
---|---|
Doing Business As | MUSKOGEE IMMEDIATE CARE |
Entity Type | Organization |
Authorized Contact | DANIEL S. SLIPKOVICH CEO 615-764-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-16 |