CRESTCARE FAMILY MEDICINE,PLLC

BROKEN ARROW, OK
NPI1174139554
Entity TypeOrganization
Authorized ContactGAURANGI M ANKLESARIA
Owner
918-251-9698
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
CRESTCARE FAMILY MEDICINE,PLLC
817 S ELM PL STE 104
BROKEN ARROW, OK 74012-5369
Phone number: 918-251-9698
Mailing Address
CRESTCARE FAMILY MEDICINE,PLLC
817 S ELM PL STE 104
BROKEN ARROW, OK 74012-5369
Phone number: 918-251-9698