Bristow Endeavor Healthcare, LLC

NPI #1265863583 in Bristow, Oklahoma

Provider Information

NPI Number: 1265863583
Entity Type: Organization
Organization Name: Bristow Endeavor Healthcare, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 12, 2013
Last Updated: Nov 18, 2022

Practice Location

Address: 519 N MAIN ST
City: Bristow
State: Oklahoma
ZIP Code: 74010-2016
Phone: (918) 367-6611

Authorized Official

Name: MELINDA KAY WHITAKER
Title: CREDENTIALING COORDINATOR
Phone: (918) 701-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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