# LOOKS BY MALISSA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BA Med Spa & Weight Loss Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073876280
- **Authorized official:** DR. JAMES ROY CAMPBELL D.O (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (918) 872-9999

## Contact information

- **Practice address:** 500 S ELM PL, BROKEN ARROW, OK 74012-5375
- **Practice address phone:** (918) 872-9999
- **Practice address fax:** (918) 893-6342
- **Mailing address:** 500 S ELM PL, BROKEN ARROW, OK 74012-5375
- **Mailing address phone:** (918) 872-9999
- **Mailing address fax:** (918) 893-6342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 1880 | OK | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 06/21/2012