Organization
ASSOC HOLDINGS LLC
Active
Other names
PHOENIX MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKO KOLIASTASIS (CEO)
(918) 636-3930
Entity
Organization
Contact information
Practice address
557 HARRISON ST, PAWNEE, OK 74058-2566
(918) 762-5050
(918) 762-5055
Mailing address
557 HARRISON ST, PAWNEE, OK 74058-2566
(918) 762-5050
(918) 762-5055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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