Organization
LOOKS BY MALISSA
Active
Other names
BA Med Spa & Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROY CAMPBELL D.O (MEDICAL DIRECTOR/PRESIDENT)
(918) 872-9999
Entity
Organization
Contact information
Practice address
500 S ELM PL, BROKEN ARROW, OK 74012-5375
(918) 872-9999
(918) 893-6342
Mailing address
500 S ELM PL, BROKEN ARROW, OK 74012-5375
(918) 872-9999
(918) 893-6342
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1880
OK
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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