Organization · Type 2 NPI

Squareone Compassion Inc

Primary Care Clinic/Center · Tulsa, OK

NPI number 1508493784 Active

Practice location

5323 South 65th West Avenue
Tulsa, OK 74107

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

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NPI record

NPI: 1508493784
Entity type: Organization (Type 2)
Issued: Mar 26, 2020
Last updated: Dec 31, 2021
Status: Active
Subpart: Yes of Squareone Compassion Inc

Other names

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Squareone Medical Center · doing business as

Authorized official

Mr. Matthew Riley Blair
President
(918) 521-4185

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About NPI 1508493784

Squareone Compassion Inc's National Provider Identifier is 1508493784, issued on Mar 26, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tulsa, OK. The record was last updated on Dec 31, 2021.