New Tradition Clinic LLC
NPI #1669405437 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1669405437
- Entity Type
- Organization
- Organization Name
- New Tradition Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- 2021 S ELM PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7031
- Phone
- (918) 806-6461
Authorized Official
- Name
- MRS. MARIAH HELEN LEE
- Title
- OWNER
- Phone
- (918) 806-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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