Lifestat of Neo Co
NPI #1447395470 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1447395470
- Entity Type
- Organization
- Organization Name
- Lifestat of Neo Co
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 102 N ELM PL
- Address 2
- SUITE G
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-3883
- Phone
- (918) 258-6579
Authorized Official
- Name
- MR. BENNY BROTT
- Title
- CEO
- Phone
- (918) 258-6579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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