Organization
ABUNDANT WELLNESS
Active
Other names
Abundant Wellness MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA A. FARRELL MD (PRESIDENT)
(918) 794-4652
Entity
Organization
Contact information
Practice address
8787 N OWASSO EXPY, SUITE J, OWASSO, OK 74055-4444
(918) 516-2296
(918) 516-2965
Mailing address
8787 N OWASSO EXPY, SUITE J, OWASSO, OK 74055-4444
(918) 516-2296
(918) 516-2965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OK
Other
Enumeration date
10/14/2016
Last updated
12/12/2016
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