Aspen Children's Clinic of Broken Arrow Inc.
NPI #1144363094 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1144363094
- Entity Type
- Organization
- Organization Name
- Aspen Children's Clinic of Broken Arrow Inc.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3300 S ASPEN AVE
- Address 2
- SUITE B
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7501
- Phone
- (918) 455-4140
Authorized Official
- Name
- SURESH BHARANI, M.D.
- Title
- PRESIDENT
- Phone
- (918) 455-4140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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