| Vip Endoscopy Inc | |
|
1615 S Eucalyptus Ave Suite 101 Broken Arrow OK 74012 | |
| (918) 294-8477 | |
| (918) 294-3003 |
| Full Name | Vip Endoscopy Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Sarah Bell Von Muller (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9182948477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Endoscopy Inc 1615 S Eucalyptus Ave Suite 101 Broken Arrow OK 74012 Ph: (918) 294-8477 | Vip Endoscopy Inc 1615 S Eucalyptus Ave Suite 101 Broken Arrow OK 74012 Ph: (918) 294-8477 |
| NPI Number | 1558471490 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558471490 | NPI | - | NPPES |
| 3104093 | Other | OK | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0072 (Oklahoma) | Primary |
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