| Balance Family Practice & Medical Spa Llc | |
|
10330 State Hwy 10 Pawhuska OK 74056 | |
| (918) 397-5437 | |
| (918) 398-9316 |
| Full Name | Balance Family Practice & Medical Spa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10330 State Hwy 10, Pawhuska, Oklahoma |
| Authorized Official Name and Position | Scarlett Nicole Virden (OWNER OPERATOR) |
| Authorized Official Contact | 9183975437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Family Practice & Medical Spa Llc 10330 State Highway 10 Bartlesville OK 74056 Ph: (918) 397-5437 | Balance Family Practice & Medical Spa Llc 10330 State Hwy 10 Pawhuska OK 74056 Ph: (918) 397-5437 |
| NPI Number | 1255829149 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255829149 | NPI | - | NPPES |
| 200789230A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 93576 (Oklahoma) | Primary |
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