# HARVARD FAMILY CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215151600
- **Authorized official:** DR. EDWIN A BERGER DO (PRESIDENT)
- **Authorized official phone:** (918) 748-8111

## Contact information

- **Practice address:** 3315 E 47TH PL, SUITE 111, TULSA, OK 74135-2914
- **Practice address phone:** (918) 748-8111
- **Practice address fax:** (918) 744-5284
- **Mailing address:** 3315 E 47TH PL, SUITE 111, TULSA, OK 74135-2914
- **Mailing address phone:** (918) 748-8111
- **Mailing address fax:** (918) 744-5284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1308 | OK | — |
| 207Q00000X | Family Medicine Physician | 1460 | OK | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 11/10/2009