Organization
CAREATC - OWASSO
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
8751 N 117TH EAST AVE, UNIT H, OWASSO, OK 74055-2098
(800) 993-8244
(855) 568-0489
Mailing address
8751 N 117TH EAST AVE, UNIT H, OWASSO, OK 74055-2098
(800) 993-8244
(855) 568-0489
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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