Organization · Type 2 NPI
Broken Arrow Medical Group LLC
General Practice Physician · Tulsa, OK
NPI number
1386676153
Active
Practice location
9001 S. 101st E. Ave, Ste 350
Tulsa, OK 74133
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1386676153
Broken Arrow Medical Group LLC's National Provider Identifier is 1386676153, issued on Jul 6, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 24, 2011.