| Premier Family Care Pc | |
|
1130 E Lansing St Broken Arrow OK 74012-2016 | |
| (918) 258-9990 | |
| (918) 251-9339 |
| Full Name | Premier Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1130 E Lansing St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Jonathan T Hamilton (PRESIDENT/OWNER) |
| Authorized Official Contact | 9182589990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Care Pc Po Box 3500 Dept 365 Claremore OK 74018-3500 Ph: (918) 258-9990 | Premier Family Care Pc 1130 E Lansing St Broken Arrow OK 74012-2016 Ph: (918) 258-9990 |
| NPI Number | 1114982063 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114982063 | NPI | - | NPPES |
| DF7430 | Other | OK | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3896 (Oklahoma) | Primary |
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