Elmbrook Clinical Services LLC

NPI #1649951211 in Ardmore, Oklahoma

Provider Information

NPI Number
1649951211
Entity Type
Organization
Organization Name
Elmbrook Clinical Services LLC
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
Jul 27, 2023
Last Updated
Jan 5, 2024

Practice Location

Address
1908 12TH AVE NW
Address 2
SUITE E
ZIP Code
73401-1255
Phone
(580) 226-3055

Authorized Official

Name
MR. TOM C COBLE
Title
SOLE MEMBER/INITIAL MANAGER
Phone
(580) 220-7093

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care
Nurse Practitioner - FamilyFamily
Nurse Practitioner - GerontologyGerontology

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