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Organization

BELLHAVEN MEDICAL SPA, LLC

Active
Parent organization
BELLHAVEN MEDICAL SPA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BELLHAVEN MEDICAL SPA, LLC
Authorized official
FRANK WROBERSON BELL DO (PRESIDENT/PHYSICIAN)
(918) 697-6889
Entity
Organization

Contact information

Practice address
1878 E. 15TH ST., TULSA, OK 74104
(918) 938-7026
(918) 938-7748
Mailing address
1878 E. 15TH ST., TULSA, OK 74104
(918) 938-7026
(918) 938-7748

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4173
OK

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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