Providence Service Corporation Of Oklahoma

NPI 1033279443 - Clinic/Center - 261QM0801X

NPI Details
NPI 1033279443
Enumeration Date 12/08/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BREEANN MARIE BREEANN
Position AR AND BILLING MANAGER
Phone (580) 355-6800
Fax (580) 355-0666
Practice Location
4645 W GORE BLVD STE 5
LAWTON OK, 73505-5962, US
Phone (580) 355-6800
Fax (580) 355-0666
Business Location
620 N CRAYCROFT RD
TUCSON AZ, 85711-1448, US
Phone (520) 747-6600
Fax (520) 747-6613
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1033279443 NPI Number
 

According to our database, Providence Service Corporation Of Oklahoma NPI is 1033279443, taxonomy code is 261QM0801X Providence Service Corporation Of Oklahoma physically located at 4645 W Gore Blvd Ste 5, Lawton OK, 73505-5962. NPI Number 1033115704 has the healthcare provider type.

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1033279443 NPI number is provided on an as is basis without warranty of any kind. 1033279443 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Service Corporation Of Oklahoma are for informational purposes only.