Organization
CAREATC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BENDER (DIRECTOR, DATA MANAGEMENT)
(918) 779-7475
Entity
Organization
Contact information
Practice address
1801 COMMERCE DR, PIQUA, OH 45356-2603
(918) 331-6377
Mailing address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
(918) 779-7475
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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