Organization
MEDRITE LLC
Active
Other names
Medrite Okmulgee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN BRADLEY APRN (CEO)
(918) 779-0709
Entity
Organization
Contact information
Practice address
7307 S YALE AVE STE 101, TULSA, OK 74136-7028
(918) 710-2062
Mailing address
109 W 6TH ST, OKMULGEE, OK 74447-5015
(918) 779-0709
(918) 392-4552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/30/2015
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