Basic Information
| Provider Information | |||||||||
| NPI: | 1306828694 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEEK | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1069 | ||||||||
| Address2: | |||||||||
| City: | CHICKASHA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730231069 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052476685 | ||||||||
| FaxNumber: | 4052472043 | ||||||||
| Practice Location | |||||||||
| Address1: | 1104 E CENTRAL BLVD | ||||||||
| Address2: | |||||||||
| City: | ANADARKO | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730054400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052476685 | ||||||||
| FaxNumber: | 4052472043 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2008 | OK | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.