Usrc Grove Llc

NPI 1649580564 - Clinic/Center - 261QE0700X

NPI Details
NPI 1649580564
Enumeration Date 10/13/2010
Last Updated 10/25/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THOMAS L. THOMAS
Position SENIOR VICE PRESIDENT
Phone (918) 787-2900
Fax (918) 787-2908
Practice Location
1200 NEO LOOP
SUITE B&C
GROVE OK, 74344, US
Phone (918) 787-2900
Fax (918) 787-2908
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Usrc Grove Llc NPI is 1649580564, taxonomy code is 261QE0700X Usrc Grove Llc physically located at 1200 Neo Loop, Grove OK, 74344. NPI Number 1033115704 has the healthcare provider type.

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1649580564 NPI number is provided on an as is basis without warranty of any kind. 1649580564 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Grove Llc are for informational purposes only.