# PIC BARTLESVILLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIC BARTLESVILLE, PLLC
- **Other names:** PIC Bartlesville, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316952112
- **Legal business name:** PIC BARTLESVILLE, PLLC
- **Authorized official:** MS. MONICA KLOSA (DIRECTOR / BILLING SERVICES)
- **Authorized official phone:** (815) 713-2621

## Contact information

- **Practice address:** 2334 SE WASHINGTON BLVD STE B&D, PIC BARTLESVILLE PLLC, BARTLESVILLE, OK 74006-7256
- **Practice address phone:** (918) 331-9184
- **Practice address fax:** (918) 331-9187
- **Mailing address:** PO BOX 1207, MILWAUKEE, WI 53201-1207
- **Mailing address phone:** (815) 713-2600
- **Mailing address fax:** (815) 654-8020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16429 | OK | — |
| 261QU0200X | Urgent Care Clinic/Center | 18176 | OK | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 02/01/2010