Organization · Type 2 NPI
Total Eclipse DMH PLLC
Addiction Medicine (Psychiatry & Neurology) Physician · Broken Arrow, OK
NPI number
1447972864
Active
Practice location
817 S Elm Pl Ste C
Broken Arrow, OK 74012-5369
Fax (918) 940-4737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1447972864
Total Eclipse DMH PLLC's National Provider Identifier is 1447972864, issued on Sep 13, 2022. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Broken Arrow, OK. The record was last updated on Sep 13, 2022.