Phoenix Primary Care, LLC

NPI #1952890337 in Pawnee, Oklahoma

Provider Information

NPI Number
1952890337
Entity Type
Organization
Organization Name
Phoenix Primary Care, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 1, 2018
Last Updated
Jan 8, 2020

Practice Location

Address
557 HARRISON ST
City
Pawnee
ZIP Code
74058-2566
Phone
(918) 762-5050

Authorized Official

Name
MR. NIKO KOLIASTASIS
Title
CEO
Phone
(918) 636-3930

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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