Rediclinic LLC
NPI #1548309164 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1548309164
- Entity Type
- Organization
- Organization Name
- Rediclinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Jan 15, 2009
Practice Location
- Address
- 2301 W KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8912
- Phone
- (866) 935-0333
Authorized Official
- Name
- ERIC P FOURNET
- Title
- CFO
- Phone
- (713) 580-9468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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