Provider Demographics
NPI:1306828694
Name:CHEEK, GEORGE A (DO)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:CHEEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1069
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73023-1069
Mailing Address - Country:US
Mailing Address - Phone:405-247-6685
Mailing Address - Fax:405-247-2043
Practice Address - Street 1:1104 E CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-4400
Practice Address - Country:US
Practice Address - Phone:405-247-6685
Practice Address - Fax:405-247-2043
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E09715Medicare UPIN