MR. Anthony Ingram
NPI #1528424199 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1528424199
- Entity Type
- Individual
- Name
- MR. Anthony Ingram
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Jan 12, 2016
Practice Location
- Address
- 20779 E 48TH ST S
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-8756
- Phone
- (918) 271-0586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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