Blue Sparrow Wellness, Llc | |
4734 S 166th East Ave Tulsa OK 74134-7255 | |
(918) 895-9550 | |
Not Available |
Full Name | Blue Sparrow Wellness, Llc |
---|---|
Speciality | General Practice |
Location | 4734 S 166th East Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Charles David Murr (PHYSICIAN) |
Authorized Official Contact | 9187702698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Sparrow Wellness, Llc Po Box 691720 Tulsa OK 74169-1720 Ph: (918) 895-9550 | Blue Sparrow Wellness, Llc 4734 S 166th East Ave Tulsa OK 74134-7255 Ph: (918) 895-9550 |
NPI Number | 1629724026 |
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Provider Enumeration Date | 02/23/2022 |
Last Update Date | 02/23/2022 |
Identifier | Type | State | Issuer |
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1629724026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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