NPI 1013146703
Muskogee Rt Associates LLC
Practice location
- Address
- 2900 N Main St, Muskogee, OK 74401-4078
- Phone
- (918) 683-6655
- Fax
- (918) 683-6654
- Mailing address
- 11101 Hefner Pointe Dr #231, Oklahoma City, OK 73120-5054
Authorised official
- Name
- Derek Prentice
- Title
- Managing Member
- Phone
- (405) 418-2200
Registered specialties
Radiation Oncology Physician
Primary
Registry record
- NPI
- 1013146703
- Entity type
- Organization
- NPI issued
- 2 Jul 2009
- Record last updated
- 10 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.