Organization
BALA KRISHNA V ARABOLU
Active
Other names
CHILDREN'S CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BALA KRISHNA V ARABOLU M.D. (DOCTOR)
(580) 924-1144
Entity
Organization
Contact information
Practice address
1202 N 16TH AVE, DURANT, OK 74701-2122
(580) 924-1144
(580) 924-6667
Mailing address
1202 N 16TH AVE, DURANT, OK 74701-2122
(580) 924-1144
(580) 924-6667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11709
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741720A
—
OK
Enumeration date
11/16/2006
Last updated
08/13/2008
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