Organization
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Active
Other names
Broken Arrow Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FERGUSON (CEO)
(918) 477-5049
Entity
Organization
Contact information
Practice address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9990
(918) 994-4277
Mailing address
2408 E 81ST ST, STE 300, TULSA, OK 74137-4200
(918) 477-5049
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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