Cosmocomet.llc

NPI #1083850010 in Claremore, Oklahoma

Provider Information

NPI Number: 1083850010
Entity Type: Organization
Organization Name: Cosmocomet.llc
Primary Specialty: Clinic/Center
Enumeration Date: Dec 22, 2008
Last Updated: Dec 22, 2008

Practice Location

Address: 1222 N FLORENCE AVE
City: Claremore
State: Oklahoma
ZIP Code: 74017-3147
Phone: (918) 342-2528

Authorized Official

Name: MR. MARK HABECK
Title: BUSINESS MANAGER
Phone: (918) 342-2528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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