Mobile Physician's Office LLC
NPI #1700170222 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1700170222
- Entity Type
- Organization
- Organization Name
- Mobile Physician's Office LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 1, 2011
- Last Updated
- Jun 1, 2011
Practice Location
- Address
- 3941 N PINE AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-0459
- Phone
- (918) 760-2200
Authorized Official
- Name
- TANDALEO GAMBLE, RN
- Title
- CEO
- Phone
- (918) 760-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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