institution
Premise Health Of Oklahoma Medical, P.c
Primary Care Clinic/Center in Broken Arrow, Oklahoma
NPI 1861972291

Premise Health Of Oklahoma Medical, P.c is a Primary Care Clinic/Center based in Brentwood, OK and is specialized in Primary Care. Premise Health Of Oklahoma Medical, P.c practices in Broken Arrow, OK. The NPI Number for Premise Health Of Oklahoma Medical, P.c is 1861972291 and holds a License No. (Oklahoma).

The current practice location address for Premise Health Of Oklahoma Medical, P.c is 1104 E Kenosha St, Broken Arrow, OK and can be reached out via phone at 918-994-6866 and via fax at 918-994-6897. You can also correspond with Premise Health Of Oklahoma Medical, P.c through the mailing address at 5500 MARYLAND WAY STE 400, BRENTWOOD, TN - 37027-7048 (mailing address contact number: ).

Location: 1104 E Kenosha St, Broken Arrow, OK, 37027-7048
institution
Provider Profile Details
NPI Number
1861972291
Provider Name
Premise Health Of Oklahoma Medical, P.c
Credential
Provider Entity Type
Organization
Address
1104 E Kenosha St, Broken Arrow, OK, 37027-7048
Phone Number
918-994-6866
Fax Number
918-994-6897
Provider Enumeration Date
08/15/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1104 E Kenosha St
City
State
Zip
74012-2067
Phone Number
918-994-6866
Fax Number
918-994-6897
person
Provider Business Mailing Address Details
Address
5500 Maryland Way Ste 400
City
State
Zip
37027-7048
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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