| Ccom Medical Group, Inc. | |
|
350 S 40th St Ccom Medical Group Muskogee OK 74401-4915 | |
| (918) 683-0753 | |
| Not Available |
| Full Name | Ccom Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 S 40th St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Ann Barker Ong (CORPORATE SECRETARY) |
| Authorized Official Contact | 9186830753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccom Medical Group, Inc. 350 S 40th St Ccom Medical Group Muskogee OK 74401-4915 Ph: (918) 683-0753 | Ccom Medical Group, Inc. 350 S 40th St Ccom Medical Group Muskogee OK 74401-4915 Ph: (918) 683-0753 |
| NPI Number | 1053380287 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053380287 | NPI | - | NPPES |
| 100734500A | Medicaid | OK |
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