Healthy Life Pllc
NPI #1700120458 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1700120458
- Entity Type
- Organization
- Organization Name
- Healthy Life Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 19, 2012
- Last Updated
- Nov 19, 2012
Practice Location
- Address
- 800 W BOISE CIR
- Address 2
- SUITE 290
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4906
- Phone
- (918) 344-9368
Authorized Official
- Name
- DR. ROBERTA RAU, M.D.
- Title
- PRESIDENT/OWNER
- Phone
- (918) 344-9368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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