| Premier Pediatric And Adolescent Care | |
|
2009 N Main St Muskogee OK 74401 | |
| (918) 816-4024 | |
| (918) 816-4025 |
| Full Name | Premier Pediatric And Adolescent Care |
|---|---|
| Speciality | Clinic/center |
| Location | 2009 N Main St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Tracy Hoos (OWNER) |
| Authorized Official Contact | 9188164024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pediatric And Adolescent Care 2009 N Main St Muskogee OK 74401 Ph: (918) 816-4024 | Premier Pediatric And Adolescent Care 2009 N Main St Muskogee OK 74401 Ph: (918) 816-4024 |
| NPI Number | 1730560699 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730560699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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