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1154394682
BART RIDER
BROKEN ARROW, OK
NPI
1154394682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3596)
Enumeration Date
2006-02-07
Last Update Date
2008-02-28
Business Address
-- BART RIDER D.O.
2950 S ELM PL STE 160
BROKEN ARROW, OK 74012-7877
Phone number: 918-449-3750
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Mailing Address
-- BART RIDER D.O.
6600 S YALE AVE STE 1400
TULSA, OK 74136-3310
Phone number: 918-488-6001
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