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Organization
BROKEN ARROW WOMENS CLINIC INC
Active
Organization
BROKEN ARROW WOMENS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICK LYNN GLICK MD (OWNER)
(918) 449-4034
Entity
Organization
Contact information
Practice address
2950 S ELM PLACE, SUITE 325, BROKEN ARROW, OK 74012
(918) 449-4034
(918) 449-4039
Mailing address
2950 S ELM PLACE, SUITE 325, BROKEN ARROW, OK 74012
(918) 449-4034
(918) 449-4039
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OK9927
OK
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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