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MUSUMA HEALTH CARE AND MEDICAL SPA PLLC NPI 1437799822


NPI Information

NPI: 1437799822
Provider Name: MUSUMA HEALTH CARE AND MEDICAL SPA, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 37D2211335

Address:
2104 S MAIN ST
GROVE, OK
ZIP 74344
Phone: (918) 964-7071
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MUSUMA HEALTH CARE AND MEDICAL SPA, PLLC is a primary care clinic center in Grove, OK. MUSUMA HEALTH CARE AND MEDICAL SPA, PLLC NPI is 1437799822. The provider is registered as an organization entity type.

The provider's business location address is:

2104 S MAIN ST
GROVE, OK
ZIP 74344-356
Phone: (918) 964-7071
Fax: (918) 964-7072

The provider's authorized official is Kammie Caldwell-watkins .
The authorized official title is Vice President and has the following contact phone number (918) 964-7071.

The CLIA number assigned to this NPI record is 37D2211335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 6/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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