Organization
VIP ENDOSCOPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH BELL VON MULLER MD (MEDICAL DIRECTOR)
(918) 294-8477
Entity
Organization
Contact information
Practice address
1615 S EUCALYPTUS AVE, SUITE 101, BROKEN ARROW, OK 74012
(918) 294-8477
(918) 294-3003
Mailing address
1615 S EUCALYPTUS AVE, SUITE 101, BROKEN ARROW, OK 74012
(918) 294-8477
(918) 294-3003
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0072
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3104093
AETNA
OK
Enumeration date
08/30/2006
Last updated
09/11/2007
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