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Southeastern Neurology, Pc
Specialist in Mcalester, Oklahoma
NPI 1831108802

Southeastern Neurology, Pc is a Specialist based in Mcalester, OK. Southeastern Neurology, Pc practices in Mcalester, OK. The NPI Number for Southeastern Neurology, Pc is 1831108802 and holds a License No. 22154 (Oklahoma).

The current practice location address for Southeastern Neurology, Pc is 2 E Clark Bass Blvd Ste 305, Mcalester, OK and can be reached out via phone at 918-421-6630 and via fax at 918-421-6631.

Location: 2 E Clark Bass Blvd Ste 305, Mcalester, OK, 74501-4210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831108802
Provider Name
Southeastern Neurology, Pc
Credential
Provider Entity Type
Organization
Address
2 E Clark Bass Blvd Ste 305, Mcalester, OK, 74501-4210
Phone Number
918-421-6630
Fax Number
918-421-6631
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2 E Clark Bass Blvd Ste 305
City
Mcalester
State
Oklahoma
Zip
74501-4210
Phone Number
918-421-6630
Fax Number
918-421-6631
person
Provider Business Mailing Address Details
Address
2 E Clark Bass Blvd Ste 305
City
Mcalester
State
Oklahoma
Zip
74501-4210
Phone Number
918-421-6630
Fax Number
918-421-6631
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22154 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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