Apex Wound Management Llc | |
4312 S Retana Ave Broken Arrow OK 74011-1397 | |
(918) 720-4957 | |
Not Available |
Full Name | Apex Wound Management Llc |
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Speciality | Clinic/Center |
Location | 4312 S Retana Ave, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Donald R Brown (PRESIDENT) |
Authorized Official Contact | 9187204957 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Apex Wound Management Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 | Apex Wound Management Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 |
NPI Number | 1740067727 |
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Provider Enumeration Date | 09/12/2023 |
Last Update Date | 09/12/2023 |
Medicare PECOS PAC ID | 0840647715 |
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Medicare Enrollment ID | O20231114003318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740067727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ladd C Atkins |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912198375 PECOS PAC ID: 8729174842 Enrollment ID: I20071019000333 |
Provider Name | Amanda Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194340307 PECOS PAC ID: 4688087950 Enrollment ID: I20210105001601 |
Provider Name | Susie Mae Hinex |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457087405 PECOS PAC ID: 7810363413 Enrollment ID: I20221024001367 |
Provider Name | Charla Candace Bridgers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831556018 PECOS PAC ID: 2466819768 Enrollment ID: I20230531003765 |
Provider Name | Crystal Ann Conley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053194738 PECOS PAC ID: 7618323650 Enrollment ID: I20231026003643 |
Provider Name | Angela Baldridge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316712144 PECOS PAC ID: 0941652663 Enrollment ID: I20240118002074 |
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