Php Ok Pc | |
2050 W Kenosha St Broken Arrow OK 74012-8946 | |
(918) 882-0440 | |
(918) 882-0441 |
Full Name | Php Ok Pc |
---|---|
Speciality | Family Medicine |
Location | 2050 W Kenosha St, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Angie Mckinney (OPERATIONS MANAGER) |
Authorized Official Contact | 4055776571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Php Ok Pc 1820 Commons Cir Ste B Yukon OK 73099-9518 Ph: (405) 265-2778 | Php Ok Pc 2050 W Kenosha St Broken Arrow OK 74012-8946 Ph: (918) 882-0440 |
NPI Number | 1679332464 |
---|---|
Provider Enumeration Date | 03/15/2024 |
Last Update Date | 03/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679332464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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