Med Southwest, Pllc
NPI #1760152805 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1760152805
- Entity Type
- Organization
- Organization Name
- Med Southwest, Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 20, 2021
- Last Updated
- May 29, 2022
Practice Location
- Address
- 2500 W NEW ORLEANS ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-1574
- Phone
- (918) 893-3769
Authorized Official
- Name
- SUE DOWNES
- Title
- SECRETARY
- Phone
- (703) 847-8899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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