Organization
THE BROADWAY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BURNSTEIN M.H.A. (PRACTICE ADMINISTRATOR)
(405) 528-1936
Entity
Organization
Contact information
Practice address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 521-8260
Mailing address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 521-8260
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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