Organization
S BAR D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI RENE FINK (OFFICE MANAGER)
(918) 825-3107
Entity
Organization
Contact information
Practice address
109 N FAIRLAND ST STE 109, PRYOR, OK 74361-4225
(918) 825-3107
(918) 825-3128
Mailing address
109 N FAIRLAND ST STE 109, PRYOR, OK 74361-4225
(918) 825-3107
(918) 825-3128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18074
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104854876
NPI
—
01
—
446604203006
BLUECROSS BLUE SHIELD
—
Enumeration date
04/08/2008
Last updated
04/08/2008
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