Organization
OOLOGAH PEDIATRIC CARE PLLC
Active
Other names
Central Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
115 W. ATLAS AVE, OOLOGAH, OK 74053-3029
(469) 915-4211
Mailing address
4458 SPRUCE ST, KIEFER, OK 74041-3029
(918) 519-7315
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
09/02/2025
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