| Evernorth Care Providers - Arizona Pc | |
|
7633 E 63rd Pl Ste 300 Tulsa OK 74133-1202 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - Arizona Pc |
|---|---|
| Speciality | General Practice |
| Location | 7633 E 63rd Pl Ste 300, Tulsa, Oklahoma |
| Authorized Official Name and Position | Grace Blue (CREDENTIALING SR MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - Arizona Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Arizona Pc 7633 E 63rd Pl Ste 300 Tulsa OK 74133-1202 Ph: (773) 292-4800 |
| NPI Number | 1467217299 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467217299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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