Organization
PIC BARTLESVILLE, PLLC
Active
Parent organization
PIC BARTLESVILLE, PLLC
Other names
PIC Bartlesville, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIC BARTLESVILLE, PLLC
Authorized official
MS. MONICA KLOSA (DIRECTOR / BILLING SERVICES)
(815) 713-2621
Entity
Organization
Contact information
Practice address
2334 SE WASHINGTON BLVD STE B&D, PIC BARTLESVILLE PLLC, BARTLESVILLE, OK 74006-7256
(918) 331-9184
(918) 331-9187
Mailing address
PO BOX 1207, MILWAUKEE, WI 53201-1207
(815) 713-2600
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16429
OK
261QU0200X
Urgent Care Clinic/Center
Primary
18176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117320A
—
OK
Enumeration date
07/30/2006
Last updated
02/01/2010
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