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Organization
OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.
Active
Organization
OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON HENLEY D.O. (PHYSICIAN)
(918) 274-9700
Entity
Organization
Contact information
Practice address
12455 E 100TH ST N, SUITE 280, OWASSO, OK 74055-4600
(918) 274-9700
Mailing address
12455 E 100TH ST N, SUITE 280, OWASSO, OK 74055-4600
(918) 274-9700
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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