Apex Wound Specialists Llc | |
4312 S Retana Ave Broken Arrow OK 74011-1397 | |
(918) 720-4957 | |
Not Available |
Full Name | Apex Wound Specialists 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/CEO) |
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 Specialists Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 | Apex Wound Specialists Llc 4312 S Retana Ave Broken Arrow OK 74011-1397 Ph: (918) 720-4957 |
NPI Number | 1902630122 |
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Provider Enumeration Date | 08/29/2024 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 4183155922 |
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Medicare Enrollment ID | O20241003001298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902630122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Sally A Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932208188 PECOS PAC ID: 3476644139 Enrollment ID: I20110425000746 |
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