DR. THERESE AMIGO, M.D.

Pediatrics

Active Individual
NPI: 1235107814

Practice Address

401 S YORK ST
CCOM MEDICAL GROUP, INC.
Muskogee, OK 74403

Phone: (918) 683-1144

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 21291 (OK)

Frequently Asked Questions

NPI 1235107814 is the National Provider Identifier for DR. THERESE AMIGO, M.D., a Pediatrics provider located in Muskogee, OK. This NPI was enumerated on March 9, 2006.
DR. THERESE AMIGO, M.D. practices at 401 S YORK ST, CCOM MEDICAL GROUP, INC., Muskogee, OK 74403.

Quick Facts

NPI
1235107814
Type
Individual
Enumerated
Mar 9, 2006
Last Updated
Jul 8, 2007

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