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Contact Information

JEWELL L DANIELS JR, MD
4200 W OKMULGEE ST
MUSKOGEE, OK74401-4646
 Phone: 918-683-5025
 Fax: 918-913-9703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JEWELL L DANIELS JR · (Male)

NPI Number 1720049364
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 04/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 23095
  • OK Medicaid 200039920A
Hospital affiliation(s)
  • MCALESTER REGIONAL HEALTH CENTER - (Acute Care)
    ONE CLARK BASS BOULEVARD
    MCALESTER, OK 74501
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
  • TAHLEQUAH CITY HOSPITAL - (Acute Care)
    1400 EAST DOWNING STREET
    TAHLEQUAH, OK 74465
  • WAGONER COMMUNITY HOSPITAL - (Acute Care)
    1200 WEST CHEROKEE STREET
    WAGONER, OK 74467
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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