Thomas A. Coburn MD

NPI 1093718082 - Family Medicine - 207Q00000X

NPI Details
NPI 1093718082
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
MUSKOGEE OK, 74401-5069, US
Phone (918) 682-4318
Fax (918) 682-0615
Business Location
PO BOX 1760
MUSKOGEE OK, 74402-1760, US
Phone (918) 682-4318
Fax (918) 682-0615
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 14705
Remove 1093718082 NPI Number

According to our database, Dr. Thomas A. Coburn MD NPI is 1093718082, taxonomy code is 207Q00000X and license number is 14705, license state is located at Oklahoma. Thomas A. Coburn MD physically located at 3330 W Okmulgee St, Muskogee OK, 74401-5069. NPI Number Thomas A. Coburn MD has the Individual type.

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1093718082 NPI number is provided on an as is basis without warranty of any kind. 1093718082 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A. Coburn MD are for informational purposes only.