Bristow Endeavor Healthcare, LLC

NPI #1275093098 in Prague, Oklahoma

Provider Information

NPI Number: 1275093098
Entity Type: Organization
Organization Name: Bristow Endeavor Healthcare, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BRISTOW ENDEAVOR HEALTHCARE, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 20, 2019
Last Updated: May 30, 2023

Practice Location

Address: 810 9TH ST
City: Prague
State: Oklahoma
ZIP Code: 74864-4582
Phone: (405) 566-3411

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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