Organization
ADVANCED PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENISE MICHELLE BOND (OWNER)
(918) 392-0555
Entity
Organization
Contact information
Practice address
10404 E 55TH PL, SUITE W, TULSA, OK 74146-6500
(918) 392-0555
Mailing address
10404 E 55TH PL, SUITE W, TULSA, OK 74146-6500
(918) 392-0555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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