Crestcare Family Medicine,pllc
NPI #1174139554 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1174139554
- Entity Type
- Organization
- Organization Name
- Crestcare Family Medicine,pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 21, 2020
- Last Updated
- Sep 21, 2020
Practice Location
- Address
- 817 S ELM PL STE 104
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5369
- Phone
- (918) 251-9698
Authorized Official
- Name
- DR. GAURANGI M ANKLESARIA, MD
- Title
- OWNER
- Phone
- (918) 251-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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