Broken Arrow Family Practice Center
NPI #1659405488 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1659405488
- Entity Type
- Organization
- Organization Name
- Broken Arrow Family Practice Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 817 S ELM PL STE A
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5369
- Phone
- (918) 251-2273
Authorized Official
- Name
- DOUGLAS HOLTE, M.D.
- Title
- OWNER
- Phone
- (918) 251-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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