# BLUE SPARROW WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Sparrow Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629724026
- **Authorized official:** DR. CHARLES DAVID MURR MD (PHYSICIAN)
- **Authorized official phone:** (918) 770-2698

## Contact information

- **Practice address:** 4734 S 166TH EAST AVE, TULSA, OK 74134-7255
- **Practice address phone:** (918) 895-9550
- **Mailing address:** PO BOX 691720, TULSA, OK 74169-1720
- **Mailing address phone:** (918) 895-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 02/23/2022