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Organization
BROKEN ARROW FAMILY CLINIC INC
Active
Organization
BROKEN ARROW FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CODER (PRESIDENT)
(918) 251-2666
Entity
Organization
Contact information
Practice address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 258-7790
Mailing address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 258-7790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1530
OK
207Q00000X
Family Medicine Physician
1577
OK
207Q00000X
Family Medicine Physician
1827
OK
207Q00000X
Family Medicine Physician
Primary
3252
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090910A
—
OK
05
—
100090910B
—
OK
05
—
1001257870A
—
OK
05
—
100177740A
—
OK
05
—
100178470A
—
OK
05
—
100183270A
—
OK
05
—
100257900A
—
OK
05
—
100258080A
—
OK
01
—
1427164888
BRIAN CODER NPI
OK
01
—
1447234885
CAROLE HOWARD NPI
OK
01
—
1679502173
ARTHUR CODER NPI
OK
01
—
1811923949
JAMES CODER NPI
OK
Enumeration date
05/24/2007
Last updated
05/16/2023
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