Organization
MOBILE PHYSICIAN'S OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDALEO GAMBLE RN (CEO)
(918) 760-2200
Entity
Organization
Contact information
Practice address
3941 N PINE AVE, BROKEN ARROW, OK 74012-0459
(918) 760-2200
(918) 615-6556
Mailing address
3941 N PINE AVE, BROKEN ARROW, OK 74012-0459
(918) 760-2200
(918) 615-6556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13177
OK
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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