| Aspen Children's Clinic Of Broken Arrow Inc. | |
|
3300 S Aspen Ave Suite B Broken Arrow OK 74012-7501 | |
| (918) 455-4140 | |
| Not Available |
| Full Name | Aspen Children's Clinic Of Broken Arrow Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3300 S Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Suresh Bharani (PRESIDENT) |
| Authorized Official Contact | 9184554140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Children's Clinic Of Broken Arrow Inc. 3300 S Aspen Ave Suite B Broken Arrow OK 74012-7501 Ph: (918) 455-4140 | Aspen Children's Clinic Of Broken Arrow Inc. 3300 S Aspen Ave Suite B Broken Arrow OK 74012-7501 Ph: (918) 455-4140 |
| NPI Number | 1144363094 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144363094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 12973 (Oklahoma) | Primary |
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