Broken Arrow Diagnostic Medicine, Pllc
NPI #1710322672 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1710322672
- Entity Type
- Organization
- Organization Name
- Broken Arrow Diagnostic Medicine, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 6, 2013
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 5050 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6711
- Phone
- (918) 994-5140
Authorized Official
- Name
- JACOB LEON CALLISON, PA
- Title
- MANAGING MEMBER
- Phone
- (918) 994-5140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
Similar Providers
| Provider Name | |
|---|---|
| Nicole Paola Mathes, MD | |
| John Clay Bowen, DO | |
| Sujan Joshi, MD | |
| Robert Jeffrey Wright, DO | |
| Paul Spechler, MD |
Want to research this healthcare provider further?