| Redefine U | |
|
2511 S Muskogee Ave Tahlequah OK 74464-5459 | |
| (918) 431-0634 | |
| (908) 431-0654 |
| Full Name | Redefine U |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2511 S Muskogee Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Kimberley L Cook (CO-OWNER/DIRECTOR) |
| Authorized Official Contact | 9184310634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefine U 2511 S Muskogee Ave Tahlequah OK 74464-5459 Ph: (918) 431-0634 | Redefine U 2511 S Muskogee Ave Tahlequah OK 74464-5459 Ph: (918) 431-0634 |
| NPI Number | 1033443296 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033443296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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