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Organization

BRISTOW ENDEAVOR HEALTHCARE, LLC

Active
Parent organization
BRISTOW ENDEAVOR HEALTHCARE, LLC
Other names
Bristow Family Practice/Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRISTOW ENDEAVOR HEALTHCARE, LLC
Authorized official
JAN E. WINTER (CEO)
(918) 367-2215
Entity
Organization

Contact information

Practice address
519 N MAIN ST, BRISTOW, OK 74010-2016
(918) 367-6611
(918) 367-9915
Mailing address
1809 E 13TH ST STE 300, TULSA, OK 74104-4431
(918) 701-2313
(918) 513-7303

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
02/16/2018
Last updated
03/10/2022
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