Careatc - Aspen
NPI #1104370535 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1104370535
- Entity Type
- Organization
- Organization Name
- Careatc - Aspen
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 1749 N ASPEN AVE
- Address 2
- #1757
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-1197
- Phone
- (918) 747-9740
Authorized Official
- Name
- KEITH GUCWA
- Title
- DIRECTOR OF PURCHASING AND FACILITI
- Phone
- (918) 779-7416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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