Northeast Oklahoma Physician Network INC
NPI #1114283025 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1114283025
- Entity Type
- Organization
- Organization Name
- Northeast Oklahoma Physician Network INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 4, 2012
- Last Updated
- Jun 19, 2012
Practice Location
- Address
- 1130 E LANSING ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2429
- Phone
- (918) 258-9990
Authorized Official
- Name
- RICHARD FERGUSON
- Title
- CEO
- Phone
- (918) 477-5049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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