| Full Name | Eeg Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1400 E Downing, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Harold Earl Goldman (PRESIDENT) |
| Authorized Official Contact | 9187434799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eeg Corporation Po Box 54603 Eeg Corporation Harold E Goldman Tulsa OK 74155-0603 Ph: (918) 743-4799 | Eeg Corporation 1400 E Downing Tahlequah OK 74465 Ph: (918) 743-4799 |
| NPI Number | 1194895441 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194895441 | NPI | - | NPPES |
| 046046 | Other | KS | KS BCBS |
| 028207163003 | Other | OK | OK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 7148 (Oklahoma) | Primary |
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