| Owasso Family Medicine, Pllc | |
|
13720 E 86th St N Ste 100 Owasso OK 74055-8704 | |
| (918) 212-6332 | |
| Not Available |
| Full Name | Owasso Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13720 E 86th St N Ste 100, Owasso, Oklahoma |
| Authorized Official Name and Position | Paul Pisarik (OWNER) |
| Authorized Official Contact | 9182126332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owasso Family Medicine, Pllc 7011 Greenbrier Dr Owasso OK 74055-5992 Ph: () - | Owasso Family Medicine, Pllc 13720 E 86th St N Ste 100 Owasso OK 74055-8704 Ph: (918) 212-6332 |
| NPI Number | 1801152335 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801152335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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