| Careatc - Aspen | |
|
1749 N Aspen Ave #1757 Broken Arrow OK 74012-1197 | |
| (918) 747-9740 | |
| (918) 779-7434 |
| Full Name | Careatc - Aspen |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1749 N Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Keith Gucwa (DIRECTOR OF PURCHASING AND FACILITI) |
| Authorized Official Contact | 9187797416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc - Aspen 1749 N Aspen Ave #1757 Broken Arrow OK 74012-1197 Ph: (918) 747-9740 | Careatc - Aspen 1749 N Aspen Ave #1757 Broken Arrow OK 74012-1197 Ph: (918) 747-9740 |
| NPI Number | 1104370535 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104370535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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