Broken Arrow Pediatrics, LLC
NPI #1265879175 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1265879175
- Entity Type
- Organization
- Organization Name
- Broken Arrow Pediatrics, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 31, 2013
- Last Updated
- May 31, 2013
Practice Location
- Address
- 1220 N ELM PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-1616
- Phone
- (918) 258-1955
Authorized Official
- Name
- DR. CARL ERWIN PFANSTIEL, M.D.
- Title
- OWNER
- Phone
- (918) 258-1955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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