Organization
OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON HENLEY D.O. (PHYSICIAN)
(918) 274-9700
Entity
Organization
Contact information
Practice address
12455 E 100TH ST N, SUITE 280, OWASSO, OK 74055-4600
(918) 274-9700
Mailing address
12455 E 100TH ST N, SUITE 280, OWASSO, OK 74055-4600
(918) 274-9700
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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