Premier Pediatric and Adolescent Care of Bixby

NPI #1326674177 in Bixby, Oklahoma

Provider Information

NPI Number
1326674177
Entity Type
Organization
Organization Name
Premier Pediatric and Adolescent Care of Bixby
Primary Specialty
Pediatrics
Enumeration Date
Mar 12, 2020
Last Updated
Mar 13, 2020

Practice Location

Address
7814 E 121ST ST
City
Bixby
ZIP Code
74008
Phone
(918) 943-5777

Authorized Official

Name
RYAN MUNDY, MD
Title
OWNER
Phone
(918) 943-5777

Specialties & Taxonomy Codes

Specialty
Pediatrics

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