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Organization

ARBUCKLE FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RANELL S PULLEN (BUSINESS OFFICE MANAGER)
(580) 622-2161
Entity
Organization

Contact information

Practice address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-2161
(580) 622-5519
Mailing address
2011 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-4482
(580) 297-9113

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2278
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700790E
OK
Enumeration date
06/13/2006
Last updated
09/12/2025
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