Organization
STACEY MURRELL, OD PC INC
Active
Other names
Broken Arrow Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY D MURRELL OD (PRESIDEN)
(918) 258-9999
Entity
Organization
Contact information
Practice address
1406 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-9999
(918) 258-2850
Mailing address
1406 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-9999
(918) 258-2850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK2345
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762280A
—
OK
Enumeration date
10/15/2007
Last updated
06/13/2008
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