| Tmg | |
|
1400 E Downing St Tahlequah OK 74464-3324 | |
| (918) 456-0641 | |
| (918) 453-2341 |
| Full Name | Tmg |
|---|---|
| Speciality | General Practice |
| Location | 1400 E Downing St, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Brian Woodliff (CEO) |
| Authorized Official Contact | 9184560641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmg Po Box 1008 Tahlequah OK 74465-1008 Ph: (918) 456-0641 | Tmg 1400 E Downing St Tahlequah OK 74464-3324 Ph: (918) 456-0641 |
| NPI Number | 1083947378 |
|---|---|
| Provider Enumeration Date | 09/17/2009 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083947378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2178 (Oklahoma) | Primary |
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