Robert E Fox Jr., D.O.

Individual provider Active NPI Family Medicine Physician · Chouteau, OK

NPI 1033204151 · NPPES record last updated Apr 9, 2008

Key facts

NPI
1033204151
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
1578 (OK)
Practice address
101 N McCracken St
Chouteau, OK 74337
Phone
(918) 476-5111
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1578OKMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1578 OK Yes
Surgery Physician 208600000X 1578 OK

Addresses

Primary practice location

101 N McCracken St
Chouteau, OK 74337

Mailing address

PO Box 729
Chouteau, OK 74337-0729
Phone (918) 476-5111

Other providers in Chouteau, OK

All providers in Chouteau, OK · Family Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.