Provider Demographics
NPI:1326219858
Name:MICHAEL DOYLE KRIEGER MD
Entity Type:Organization
Organization Name:MICHAEL DOYLE KRIEGER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DOYLE
Authorized Official - Last Name:KRIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-726-5627
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-0662
Mailing Address - Country:US
Mailing Address - Phone:580-726-5627
Mailing Address - Fax:580-726-2848
Practice Address - Street 1:401 W FOREST LN
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1645
Practice Address - Country:US
Practice Address - Phone:580-726-5627
Practice Address - Fax:580-726-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty