Organization
REVELATION MEDICAL OF BARTLESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WARREN LINN (AUTHORIZED OFFICIAL)
(918) 876-4328
Entity
Organization
Contact information
Practice address
234 SE DE BELL AVE, BARTLESVILLE, OK 74006
(918) 876-4328
Mailing address
234 SE DE BELL AVE, BARTLESVILLE, OK 74006
(918) 876-4328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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