Willow Medical LLC

NPI #1417640582 in Owasso, Oklahoma

Provider Information

NPI Number: 1417640582
Entity Type: Organization
Organization Name: Willow Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 2, 2023
Last Updated: Mar 13, 2024

Practice Location

Address: 12806 E 86TH PL N STE A
City: Owasso
State: Oklahoma
ZIP Code: 74055-2688
Phone: (539) 208-5069

Authorized Official

Name: PAULA MOORMAN, APRN, FNP-C
Title: APRN, FNP-C
Phone: (539) 208-5069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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