| Bellhaven Medical Spa, Llc | |
|
1878 E. 15th St. Tulsa OK 74104 | |
| (918) 938-7026 | |
| (918) 938-7748 |
| Full Name | Bellhaven Medical Spa, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1878 E. 15th St., Tulsa, Oklahoma |
| Authorized Official Name and Position | Frank Wroberson Bell (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9186976889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellhaven Medical Spa, Llc 1878 E. 15th St. Tulsa OK 74104 Ph: (918) 938-7026 | Bellhaven Medical Spa, Llc 1878 E. 15th St. Tulsa OK 74104 Ph: (918) 938-7026 |
| NPI Number | 1992063655 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992063655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4173 (Oklahoma) | Primary |
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