Organization
BROKEN ARROW WOMENS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICK LYNN GLICK MD (OWNER)
(918) 449-4034
Entity
Organization
Contact information
Practice address
2950 S ELM PLACE, SUITE 325, BROKEN ARROW, OK 74012
(918) 449-4034
(918) 449-4039
Mailing address
2950 S ELM PLACE, SUITE 325, BROKEN ARROW, OK 74012
(918) 449-4034
(918) 449-4039
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OK9927
OK
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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