Triad Complete Healthcare A10 LLC
NPI #1528749041 in Shawnee, Oklahoma
Provider Information
- NPI Number
- 1528749041
- Entity Type
- Organization
- Organization Name
- Triad Complete Healthcare A10 LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 27, 2023
- Last Updated
- Feb 5, 2024
Practice Location
Authorized Official
- Name
- ERIC WINEGARDNER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (405) 613-9720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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