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Organization
ACCESS MEDICAL RIVERSIDE LLC
Active
Organization
ACCESS MEDICAL RIVERSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANNEN R FERRELL (CEO)
(918) 260-2093
Entity
Organization
Contact information
Practice address
7020 S UTICA AVE, TULSA, OK 74136-3907
(918) 296-7045
(918) 518-5023
Mailing address
7020 S. UTICA AVE., TULSA, OK 74137-7002
(918) 296-7045
(918) 508-5023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
03/08/2012
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