Team Clinics Ah LLC
NPI #1962013110 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1962013110
- Entity Type
- Organization
- Organization Name
- Team Clinics Ah LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Jun 28, 2021
Practice Location
- Address
- 4300 E GARY STREET
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014
- Phone
- (405) 546-4130
Authorized Official
- Name
- TREVOR NUTT
- Title
- CEO
- Phone
- (405) 546-4130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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