Organization
PREMIER HEALTHCARE, APRN-CNP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY M SLOOTHEER (PRESIDENT)
(405) 201-1333
Entity
Organization
Contact information
Practice address
12208 SOUTH WESTERN AVENUE, SUITE B, OKLAHOMA CITY, OK 73170
(405) 201-1333
Mailing address
12208 S WESTERN AVE STE B, OKLAHOMA CITY, OK 73170-5914
(405) 735-3135
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
12/22/2020
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