Organization
CAREATC - ASPEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIRECTOR OF PURCHASING AND FACILITI)
(918) 779-7416
Entity
Organization
Contact information
Practice address
1749 N ASPEN AVE, #1757, BROKEN ARROW, OK 74012-1197
(918) 747-9740
(918) 779-7434
Mailing address
1749 N ASPEN AVE, #1757, BROKEN ARROW, OK 74012-1197
(918) 747-9740
(918) 779-7434
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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