Organization · Type 2 NPI
Careatc - Aspen
Primary Care Clinic/Center · Broken Arrow, OK
NPI number
1104370535
Active
Practice location
1749 N Aspen Ave, #1757
Broken Arrow, OK 74012-1197
Fax (918) 779-7434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104370535
Careatc - Aspen's National Provider Identifier is 1104370535, issued on Aug 15, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 15, 2016.