Individual provider · Type 1 NPI
Larry Dean Sumner, MD
Adult Medicine Physician · Tahlequah, OK
NPI number
1699761981
Active
Practice location
204 Woodlawn Ave
Tahlequah, OK 74464-3318
Fax (918) 708-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 14708 (OK) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1699761981
Larry Dean Sumner, MD's National Provider Identifier is 1699761981, issued on Sep 22, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tahlequah, OK. The record was last updated on May 12, 2015.