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Organization
AUGUST FIFTH LLC
Active
Organization
AUGUST FIFTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK VANSCHOYCK MD (PHYSICIAN / OWNER)
(918) 955-0000
Entity
Organization
Contact information
Practice address
7711 E 111TH ST STE 109, TULSA, OK 74133-2562
(918) 955-0000
Mailing address
7711 E 111TH ST STE 109, TULSA, OK 74133-2562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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