Organization
CAREATC - BIXBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIRECTOR OF PURCHASING AND FACILITI)
(918) 779-7416
Entity
Organization
Contact information
Practice address
12800 S MEMORIAL DR, #B, BIXBY, OK 74008-2576
(918) 779-7400
(404) 494-7404
Mailing address
12800 S MEMORIAL DR, #B, BIXBY, OK 74008-2576
(918) 779-7400
(404) 494-7404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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