Larry Dean Sumner in Tahlequah - Adult Medicine
Larry Dean Sumner - NPI 1699761981
Larry Dean Sumner is a Adult Medicine in Tahlequah, Oklahoma. Larry Dean Sumner practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Larry Dean Sumner is 1699761981. The last update date is 2015-05-12.
Larry Dean Sumner's current location address is 204 Woodlawn Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184568000 and fax number 9187081609. The mailing address for Larry Dean Sumner is 204 Woodlawn Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Dean Sumner |
|---|---|
| Address | 204 Woodlawn Ave, Tahlequah, Oklahoma |
| Phone Number | 9184568000 |
| Fax Number | 9187081609 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699761981 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
| Address | 204 Woodlawn Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744643318 |
| Phone Number | 9184568000 |
| Fax Number | 9187081609 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 14708 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique 10-digit identification code assigned to Larry Dean Sumner by the Centers for Medicare & Medicaid Services?
The Larry Dean Sumner has been issued the NPI (National Provider Identifier) 1699761981, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Larry Dean Sumner is physically located?
The Larry Dean Sumner is situated at the following address: 204 Woodlawn Ave, Tahlequah, OK 744643318.
What is the Larry Dean Sumner's area of specialization and corresponding taxonomy classification?
The Larry Dean Sumner's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
On what date did the Larry Dean Sumner receive its 1699761981 assignment from the Centers for Medicare & Medicaid Services?
The Larry Dean Sumner was assigned its 1699761981 by the Centers for Medicare & Medicaid Services on 2005-09-22.
When was the Larry Dean Sumner's information last updated?
The Larry Dean Sumner's information was last updated on 2015-05-12.
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