Organization
AUXILIUM HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNGWAH CHRIS RUIZ (CEO)
(626) 321-5755
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
Mailing address
3300 S ASPEN AVE STE C, BROKEN ARROW, OK 74012-7501
(918) 455-2416
(918) 455-7546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/05/2022
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