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Organization

HARVARD FAMILY CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN A BERGER DO (PRESIDENT)
(918) 748-8111
Entity
Organization

Contact information

Practice address
3315 E 47TH PL, SUITE 111, TULSA, OK 74135-2914
(918) 748-8111
(918) 744-5284
Mailing address
3315 E 47TH PL, SUITE 111, TULSA, OK 74135-2914
(918) 748-8111
(918) 744-5284

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1308
OK
207Q00000X
Family Medicine Physician
Primary
1460
OK

Other

Enumeration date
04/13/2007
Last updated
11/10/2009
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