Organization
ASMG SAND SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D FERRELL (MANAGER)
(918) 260-2075
Entity
Organization
Contact information
Practice address
3905 S HIGHWAY 97, SAND SPRINGS, OK 74063-3839
(918) 260-2093
(918) 508-7442
Mailing address
3905 S HIGHWAY 97, SAND SPRINGS, OK 74063-3839
(918) 260-2093
(918) 508-7442
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
12/03/2012
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