Organization
KASH K. BIDDLE, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASH K. BIDDLE DO (OWNER/PHYSICIAN)
(918) 455-2416
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE, SUITE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
(918) 455-7546
Mailing address
3300 S ASPEN AVE, SUITE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
(918) 455-7546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2152
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145710A
—
OK
Enumeration date
06/20/2008
Last updated
06/20/2008
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