Organization
ASPEN CHILDREN'S CLINIC OF BROKEN ARROW INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH BHARANI M.D. (PRESIDENT)
(918) 455-4140
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE, SUITE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140
Mailing address
3300 S ASPEN AVE, SUITE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12973
OK
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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