Organization
BROKEN ARROW PEDIATRICS, LLC
Active
Organization
BROKEN ARROW PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ERWIN PFANSTIEL M.D. (OWNER)
(918) 258-1955
Entity
Organization
Contact information
Practice address
1220 N ELM PL, BROKEN ARROW, OK 74012-1616
(918) 258-1955
Mailing address
1220 N ELM PL, BROKEN ARROW, OK 74012-1616
(918) 258-1955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12938
OK
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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