OrganizationActive
Advanced Urology and Wellness Center of Muskogee PLLC
NPI 1972796274 · Specialist · Muskogee, OK
Provider details
- NPI number
- 1972796274
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jewell Daniels, Director(918) 683-5025
- License
- 23095 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
4200 W Okmulgee St
Muskogee, OK 74401-4646
Phone: (918) 683-5025
Fax: (918) 913-9703
Approximate (ZIP-level) locationGet directions
Mailing address
4200 W Okmulgee St
Muskogee, OK 74401-4646
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.