Broken Arrow Medical Group Llc

NPI 1386676153 - Family Medicine - 207Q00000X

NPI Details
NPI 1386676153
Enumeration Date 07/06/2006
Last Updated 06/24/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position DIRECTOR OF PROVIDER ENROLLMENT
Phone (918) 392-5500
Fax
Practice Location
9001 S. 101ST E. AVE
STE 350
TULSA OK, 74133, US
Phone (918) 392-5500
Fax
Business Location
PO BOX 689022
FRANKLIN TN, 37068-9022, US
Phone (888) 287-7705
Fax (615) 465-2896
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Broken Arrow Medical Group Llc NPI is 1386676153, taxonomy code is 207Q00000X Broken Arrow Medical Group Llc physically located at 9001 S. 101st E. Ave, Tulsa OK, 74133. NPI Number 1033115704 has the healthcare provider type.

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1386676153 NPI number is provided on an as is basis without warranty of any kind. 1386676153 is maintained by the National Plan & Provider Enumeration System. The contents of Broken Arrow Medical Group Llc are for informational purposes only.