| Pic Bartlesville, Pllc | |
|
2334 Se Washington Blvd Ste B&d Pic Bartlesville Pllc Bartlesville OK 74006-7256 | |
| (918) 331-9184 | |
| (918) 331-9187 |
| Full Name | Pic Bartlesville, Pllc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 2334 Se Washington Blvd Ste B&d, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Monica Klosa (DIRECTOR / BILLING SERVICES) |
| Authorized Official Contact | 8157132621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pic Bartlesville, Pllc Po Box 1207 Milwaukee WI 53201-1207 Ph: (815) 713-2600 | Pic Bartlesville, Pllc 2334 Se Washington Blvd Ste B&d Pic Bartlesville Pllc Bartlesville OK 74006-7256 Ph: (918) 331-9184 |
| NPI Number | 1316952112 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316952112 | NPI | - | NPPES |
| 200117320A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16429 (Oklahoma) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 18176 (Oklahoma) | Primary |
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