Looks by Malissa

NPI #1073876280 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1073876280
Entity Type: Organization
Organization Name: Looks by Malissa
Primary Specialty: General Practice
Enumeration Date: Jun 21, 2012
Last Updated: Jun 21, 2012

Practice Location

Address: 500 S ELM PL
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-5375
Phone: (918) 872-9999

Authorized Official

Name: DR. JAMES ROY CAMPBELL, D.O
Title: MEDICAL DIRECTOR/PRESIDENT
Phone: (918) 872-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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