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Organization
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Active
Organization
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Active
Other names
Broken Arrow Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FERGUSON (CEO)
(918) 477-5049
Entity
Organization
Contact information
Practice address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9990
(918) 994-4277
Mailing address
2408 E 81ST ST, STE 300, TULSA, OK 74137-4200
(918) 477-5049
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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